Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.87 / $750.32 / $5,634.00	Facility		$403.87	$750.32	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $302.89 / $336.71 / $559.55	Facility	54	$302.89	$336.71	$559.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $442.22 / $595.49	Professional		$393.50	$442.22	$595.49
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 $358.71 / $559.02 / $771.44	Professional		$358.71	$559.02	$771.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.54 / $555.44 / $833.16	Facility		$421.54	$555.44	$833.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.47 / $551.84 / $794.64	Professional		$441.47	$551.84	$794.64
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 $434.79 / $558.22 / $895.91	Professional		$434.79	$558.22	$895.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.24 / $495.08 / $900.01	Professional		$377.24	$495.08	$900.01