Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.68 / $458.87 / $2,747.00	Facility		$256.68	$458.87	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.51 / $237.08 / $307.55	Facility	54	$192.51	$237.08	$307.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.68 / $310.98 / $421.72	Professional		$256.68	$310.98	$421.72
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 $221.99 / $270.50 / $393.90	Professional		$221.99	$270.50	$393.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.35 / $402.32 / $464.09	Facility		$283.35	$402.32	$464.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.81 / $402.32 / $592.32	Professional		$316.81	$402.32	$592.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.33 / $528.76 / $528.76	Facility		$326.33	$528.76	$528.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.13 / $370.13 / $370.13	Facility	54	$370.13	$370.13	$370.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.45 / $413.52 / $624.50	Professional		$299.45	$413.52	$624.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $385.01	Professional		$32.34	$32.34	$385.01
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.93 / $378.10 / $596.57	Professional		$268.93	$378.10	$596.57