Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.83 / $723.71 / $2,747.00	Facility		$412.83	$723.71	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $309.62 / $377.54 / $475.95	Facility	54	$309.62	$377.54	$475.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.43 / $500.57 / $682.22	Professional		$426.43	$500.57	$682.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.46 / $473.08 / $716.30	Professional		$390.46	$473.08	$716.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $447.17 / $640.66 / $739.06	Facility		$447.17	$640.66	$739.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.62 / $640.66 / $997.50	Professional		$457.62	$640.66	$997.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $543.41 / $842.02 / $842.02	Facility		$543.41	$842.02	$842.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $589.41 / $589.41	Facility	54	$589.41	$589.41	$589.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.88 / $687.18 / $1,017.73	Professional		$505.88	$687.18	$1,017.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $648.38	Professional		$32.34	$32.34	$648.38
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.63 / $657.01 / $993.35	Professional		$480.63	$657.01	$993.35