Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $326.97 / $3,666.37	Facility		$89.47	$326.97	$3,666.37
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.85 / $48.55 / $63.84	Facility	52	$39.85	$48.55	$63.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $109.56 / $159.47	Professional		$81.54	$109.56	$159.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $86.78 / $140.71	Professional		$69.23	$86.78	$140.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $119.18 / $134.57	Facility		$88.28	$119.18	$134.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $129.25 / $191.53	Professional		$110.35	$129.25	$191.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.35 / $162.44 / $162.44	Facility		$85.35	$162.44	$162.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.94 / $129.94 / $129.94	Facility	52	$129.94	$129.94	$129.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $126.32 / $228.30	Professional		$95.10	$126.32	$228.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $126.75 / $203.31	Professional		$106.07	$126.75	$203.31