Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.64 / $3,013.25 / $5,634.00	Facility		$91.64	$3,013.25	$5,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.82 / $45.82 / $181.14	Facility	52	$45.82	$45.82	$181.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $240.00 / $454.11	Professional		$91.64	$240.00	$454.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $282.43 / $581.88	Professional		$94.02	$282.43	$581.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $127.83 / $524.83	Facility		$100.30	$127.83	$524.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.58 / $451.90 / $564.87	Professional		$376.58	$451.90	$564.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.05 / $506.05 / $506.05	Facility		$506.05	$506.05	$506.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $447.76 / $703.98	Professional		$127.55	$447.76	$703.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.31 / $546.74 / $857.41	Professional		$440.31	$546.74	$857.41