Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.43 / $499.31 / $3,740.00	Facility		$324.43	$499.31	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.32 / $297.87 / $374.48	Facility	54	$243.32	$297.87	$374.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.43 / $399.14 / $499.31	Professional		$324.43	$399.14	$499.31
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 $302.35 / $364.90 / $499.77	Professional		$302.35	$364.90	$499.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.42 / $505.47 / $583.09	Facility		$354.42	$505.47	$583.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.68 / $505.47 / $795.28	Professional		$397.68	$505.47	$795.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.20 / $664.33 / $664.33	Facility		$410.20	$664.33	$664.33
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $465.03 / $465.03 / $465.03	Facility	54	$465.03	$465.03	$465.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.99 / $533.85 / $788.70	Professional		$384.99	$533.85	$788.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $140.95 / $437.40	Professional		$32.34	$140.95	$437.40
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.37 / $519.24 / $784.58	Professional		$383.37	$519.24	$784.58