Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.07 / $1,114.86 / $5,634.00	Facility		$415.07	$1,114.86	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $311.30 / $349.27 / $581.24	Facility	54	$311.30	$349.27	$581.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.31 / $461.51 / $617.49	Professional		$384.31	$461.51	$617.49
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 $367.89 / $599.73 / $827.62	Professional		$367.89	$599.73	$827.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.03 / $571.02 / $856.53	Facility		$416.03	$571.02	$856.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.57 / $573.21 / $825.42	Professional		$458.57	$573.21	$825.42
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 $450.48 / $586.48 / $933.85	Professional		$450.48	$586.48	$933.85
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 $389.93 / $517.80 / $934.05	Professional		$389.93	$517.80	$934.05