Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.53 / $4,846.00 / $25,483.13	Facility		$1,044.53	$4,846.00	$25,483.13
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $522.27 / $522.27 / $957.65	Facility	52	$522.27	$522.27	$957.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.53 / $1,133.31 / $1,408.35	Professional		$1,044.53	$1,133.31	$1,408.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,474.00 / $13,810.27	Facility		$3,309.00	$6,474.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.03 / $1,318.90 / $1,872.83	Professional		$1,111.03	$1,318.90	$1,872.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,011.48 / $1,473.30 / $1,586.63	Facility		$1,011.48	$1,473.30	$1,586.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,133.31 / $1,303.31 / $1,620.06	Professional		$1,133.31	$1,303.31	$1,620.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,623.15 / $2,623.15 / $2,623.15	Facility		$2,623.15	$2,623.15	$2,623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.50 / $1,452.32 / $2,141.44	Professional		$1,180.50	$1,452.32	$2,141.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.38 / $1,413.48 / $2,273.85	Professional		$1,044.38	$1,413.48	$2,273.85