Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.31 / $706.98 / $2,747.00	Facility		$360.31	$706.98	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $270.23 / $331.16 / $435.09	Facility	54	$270.23	$331.16	$435.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.71 / $441.63 / $606.07	Professional		$365.71	$441.63	$606.07
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 $339.69 / $409.73 / $621.10	Professional		$339.69	$409.73	$621.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.92 / $561.97 / $648.28	Facility		$392.92	$561.97	$648.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.55 / $561.97 / $887.92	Professional		$441.55	$561.97	$887.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.57 / $738.59 / $738.59	Facility		$488.57	$738.59	$738.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $517.01 / $517.01 / $517.01	Facility	54	$517.01	$517.01	$517.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.48 / $612.15 / $869.15	Professional		$438.48	$612.15	$869.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $577.15	Professional		$32.34	$32.34	$577.15
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.29 / $582.41 / $870.75	Professional		$413.29	$582.41	$870.75