Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $415.75 / $5,634.00	Facility		$112.81	$415.75	$5,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.41 / $84.93 / $129.96	Facility	52	$56.41	$84.93	$129.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.81 / $161.13 / $210.30	Professional		$112.81	$161.13	$210.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $169.67 / $299.64	Professional		$93.04	$169.67	$299.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $136.36 / $212.64	Facility		$106.99	$136.36	$212.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $184.56 / $230.70	Professional		$153.80	$184.56	$230.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $365.92 / $365.92	Facility		$365.92	$365.92	$365.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $210.09 / $365.27	Professional		$134.16	$210.09	$365.27
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $200.68 / $308.68	Professional		$161.84	$200.68	$308.68