Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.97 / $610.65 / $5,320.00	Facility		$142.97	$610.65	$5,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.48 / $99.53 / $547.30	Facility	52	$71.48	$99.53	$547.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $266.95 / $956.24	Professional		$142.97	$266.95	$956.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $519.47 / $855.17	Professional		$132.18	$519.47	$855.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.74 / $191.80 / $221.26	Facility		$139.74	$191.80	$221.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $198.65 / $1,090.02	Professional		$157.55	$198.65	$1,090.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.08 / $252.08 / $252.08	Facility		$252.08	$252.08	$252.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $201.66 / $201.66 / $201.66	Facility	52	$201.66	$201.66	$201.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $608.75 / $1,719.64	Professional		$183.25	$608.75	$1,719.64
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 $641.00 / $1,021.47 / $1,416.33	Professional		$641.00	$1,021.47	$1,416.33