Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.37 / $787.00 / $3,740.00	Facility		$110.37	$787.00	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,973.64 / $6,973.64 / $6,973.64	Facility	50	$6,973.64	$6,973.64	$6,973.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.36 / $68.37 / $369.93	Facility	52	$52.36	$68.37	$369.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.94 / $27.35 / $147.97	Facility	53	$20.94	$27.35	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $195.35 / $537.41	Professional		$104.71	$195.35	$537.41
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 $90.79 / $297.14 / $578.01	Professional		$90.79	$297.14	$578.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $140.47 / $165.56	Facility		$100.34	$140.47	$165.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $304.52 / $391.47	Professional		$130.44	$304.52	$391.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.63 / $184.63 / $184.63	Facility		$184.63	$184.63	$184.63
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.69 / $147.69 / $147.69	Facility	52	$147.69	$147.69	$147.69
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.93 / $36.93 / $36.93	Facility	53	$36.93	$36.93	$36.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $305.99 / $1,149.40	Professional		$132.13	$305.99	$1,149.40
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $572.46 / $923.26	Professional		$297.02	$572.46	$923.26