Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.79 / $1,093.60 / $3,740.00	Facility		$153.79	$1,093.60	$3,740.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.18 / $38.09 / $218.72	Facility	53	$29.18	$38.09	$218.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $733.15 / $1,041.47	Professional		$145.88	$733.15	$1,041.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,600.00 / $8,517.00	Facility		$1,643.00	$3,600.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $512.62 / $788.47	Professional		$112.73	$512.62	$788.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.81 / $195.73 / $230.98	Facility		$139.81	$195.73	$230.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $807.91 / $1,069.22	Professional		$181.75	$807.91	$1,069.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.25 / $257.25 / $257.25	Facility		$257.25	$257.25	$257.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.45 / $51.45 / $51.45	Facility	53	$51.45	$51.45	$51.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.07 / $696.92 / $1,677.19	Professional		$181.07	$696.92	$1,677.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $123.66 / $166.94	Professional		$32.34	$123.66	$166.94
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $920.25 / $1,321.79 / $1,793.80	Professional		$920.25	$1,321.79	$1,793.80