Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.05 / $534.83 / $5,634.00	Facility		$291.05	$534.83	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.29 / $239.36 / $401.13	Facility	54	$218.29	$239.36	$401.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $312.94 / $430.85	Professional		$268.75	$312.94	$430.85
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 $233.06 / $350.18 / $483.24	Professional		$233.06	$350.18	$483.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.60 / $402.98 / $604.47	Facility		$293.60	$402.98	$604.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.47 / $379.76 / $569.64	Professional		$316.47	$379.76	$569.64
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 $295.93 / $375.61 / $640.91	Professional		$295.93	$375.61	$640.91
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 $267.33 / $353.88 / $622.82	Professional		$267.33	$353.88	$622.82