Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.01 / $2,050.89 / $10,985.00	Facility		$798.01	$2,050.89	$10,985.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $598.51 / $598.51 / $980.57	Facility	54	$598.51	$598.51	$980.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.01 / $849.59 / $1,030.00	Professional		$798.01	$849.59	$1,030.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $119.70 / $127.44 / $161.60	Professional	55	$119.70	$127.44	$161.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,976.00 / $9,518.00 / $26,304.00	Facility		$1,976.00	$9,518.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.35 / $798.83 / $1,076.18	Professional		$638.35	$798.83	$1,076.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $690.46 / $1,005.71 / $1,199.10	Facility		$690.46	$1,005.71	$1,199.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $773.62 / $928.34 / $1,110.33	Professional		$773.62	$928.34	$1,110.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $646.00 / $5,042.89	Facility		$450.00	$646.00	$5,042.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $662.09 / $662.09 / $662.09	Facility	54	$662.09	$662.09	$662.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.16 / $1,022.00 / $1,369.27	Professional		$758.16	$1,022.00	$1,369.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.36 / $964.08 / $1,805.93	Professional		$727.36	$964.08	$1,805.93