Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.96 / $416.00 / $3,740.00	Facility		$104.96	$416.00	$3,740.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.19 / $53.68 / $203.87	Facility	52	$46.19	$53.68	$203.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $348.80 / $408.86	Professional		$92.66	$348.80	$408.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $257.51 / $404.19	Professional		$84.68	$257.51	$404.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $140.43 / $161.99	Facility		$115.10	$140.43	$161.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $160.50 / $562.07	Professional		$119.37	$160.50	$562.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.57 / $184.57 / $184.57	Facility		$184.57	$184.57	$184.57
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.66 / $147.66 / $147.66	Facility	52	$147.66	$147.66	$147.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $443.37 / $837.47	Professional		$120.66	$443.37	$837.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.57 / $637.55 / $902.61	Professional		$384.57	$637.55	$902.61