Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.14 / $543.00 / $5,634.00	Facility		$279.14	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $209.36 / $235.76 / $394.85	Facility	54	$209.36	$235.76	$394.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.72 / $310.04 / $390.49	Professional		$260.72	$310.04	$390.49
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 $223.26 / $364.63 / $503.18	Professional		$223.26	$364.63	$503.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.14 / $414.93 / $580.91	Facility		$282.14	$414.93	$580.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $389.40 / $560.73	Professional		$311.52	$389.40	$560.73
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 $284.10 / $374.07 / $609.52	Professional		$284.10	$374.07	$609.52
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 $261.38 / $337.98 / $610.29	Professional		$261.38	$337.98	$610.29