Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.82 / $762.49 / $5,634.00	Facility		$461.82	$762.49	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.37 / $379.01 / $626.69	Facility	54	$346.37	$379.01	$626.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.38 / $498.81 / $678.12	Professional		$432.38	$498.81	$678.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.17 / $613.09 / $846.06	Professional		$414.17	$613.09	$846.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.20 / $631.65 / $947.48	Facility		$460.20	$631.65	$947.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $618.04 / $889.98	Professional		$494.43	$618.04	$889.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.66 / $622.28 / $1,016.32	Professional		$495.66	$622.28	$1,016.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.68 / $574.16 / $993.95	Professional		$429.68	$574.16	$993.95