Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $603.14 / $2,747.00	Facility		$400.00	$603.14	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $278.31 / $341.34 / $452.36	Facility	54	$278.31	$341.34	$452.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.29 / $463.85 / $733.94	Professional		$373.29	$463.85	$733.94
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 $350.10 / $423.74 / $637.65	Professional		$350.10	$423.74	$637.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.27 / $579.25 / $668.21	Facility		$404.27	$579.25	$668.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.44 / $579.25 / $923.96	Professional		$404.44	$579.25	$923.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.24 / $761.30 / $761.30	Facility		$513.24	$761.30	$761.30
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $532.91 / $532.91 / $532.91	Facility	54	$532.91	$532.91	$532.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.48 / $636.72 / $901.71	Professional		$450.48	$636.72	$901.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $600.57	Professional		$32.34	$32.34	$600.57
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 $428.92 / $603.65 / $901.91	Professional		$428.92	$603.65	$901.91