Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.81 / $3,396.00 / $14,063.00	Facility		$779.81	$3,396.00	$14,063.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $584.86 / $584.86 / $943.73	Facility	54	$584.86	$584.86	$943.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.99 / $823.16 / $1,052.74	Professional		$690.99	$823.16	$1,052.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $6,653.00 / $11,752.00	Facility		$2,807.00	$6,653.00	$11,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $802.50 / $1,081.11	Professional		$642.00	$802.50	$1,081.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.56 / $996.78 / $1,507.74	Facility		$744.56	$996.78	$1,507.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $744.56 / $930.70 / $1,340.21	Professional		$744.56	$930.70	$1,340.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $798.00 / $1,627.38	Facility		$560.00	$798.00	$1,627.38
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $647.74 / $647.74 / $647.74	Facility	54	$647.74	$647.74	$647.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.13 / $852.29 / $1,386.48	Professional		$599.13	$852.29	$1,386.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.42 / $853.40 / $1,404.17	Professional		$641.42	$853.40	$1,404.17