Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.25 / $1,386.00 / $5,634.00	Facility		$365.25	$1,386.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $273.94 / $273.94 / $454.89	Facility	54	$273.94	$273.94	$454.89
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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.07 / $502.45 / $753.68	Facility		$366.07	$502.45	$753.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
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