Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.82 / $642.42 / $5,634.00	Facility		$364.82	$642.42	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $273.62 / $302.77 / $502.78	Facility	54	$273.62	$302.77	$502.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.49 / $398.33 / $499.31	Professional		$344.49	$398.33	$499.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.47 / $491.97 / $678.91	Professional		$319.47	$491.97	$678.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.59 / $501.48 / $752.22	Facility		$380.59	$501.48	$752.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $396.67 / $476.00 / $714.00	Professional		$396.67	$476.00	$714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.80 / $487.96 / $804.86	Professional		$376.80	$487.96	$804.86
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.63 / $451.08 / $815.08	Professional		$340.63	$451.08	$815.08