Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $254.41 / $3,740.00	Facility		$109.07	$254.41	$3,740.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.54 / $80.56 / $127.21	Facility	52	$54.54	$80.56	$127.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $161.13 / $253.79	Professional		$109.07	$161.13	$253.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $156.50 / $237.66	Professional		$111.98	$156.50	$237.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.83 / $148.86 / $171.72	Facility		$108.83	$148.86	$171.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $154.18 / $239.24	Professional		$126.53	$154.18	$239.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.60 / $195.65 / $195.65	Facility		$151.60	$195.65	$195.65
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $156.52 / $156.52 / $156.52	Facility	52	$156.52	$156.52	$156.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $210.52 / $341.69	Professional		$127.00	$210.52	$341.69
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.79 / $211.74 / $304.67	Professional		$163.79	$211.74	$304.67