Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.21 / $345.30 / $3,740.00	Facility		$191.21	$345.30	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $143.41 / $176.67 / $258.98	Facility	54	$143.41	$176.67	$258.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $231.76 / $345.30	Professional		$191.21	$231.76	$345.30
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 $129.91 / $182.16 / $304.64	Professional		$129.91	$182.16	$304.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $299.80 / $345.84	Facility		$212.64	$299.80	$345.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.57 / $299.80 / $459.48	Professional		$224.57	$299.80	$459.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.08 / $394.02 / $394.02	Facility		$299.08	$394.02	$394.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.81 / $275.81 / $275.81	Facility	54	$275.81	$275.81	$275.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.44 / $317.27 / $477.12	Professional		$233.44	$317.27	$477.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.47 / $252.71	Professional		$32.34	$80.47	$252.71
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $304.22 / $456.03	Professional		$212.80	$304.22	$456.03