Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.61 / $2,437.29 / $4,846.00	Facility		$97.61	$2,437.29	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.28 / $101.16 / $223.18	Facility	52	$46.28	$101.16	$223.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.51 / $40.46 / $89.27	Facility	53	$18.51	$40.46	$89.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $207.50 / $511.41	Professional		$81.62	$207.50	$511.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,700.00	Facility		$1,042.00	$5,230.00	$8,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $246.27 / $472.57	Professional		$67.73	$246.27	$472.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $97.83 / $117.09	Facility		$75.25	$97.83	$117.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.35 / $377.93 / $464.38	Professional		$329.35	$377.93	$464.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.52 / $847.52 / $847.52	Facility		$847.52	$847.52	$847.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $346.77 / $600.48	Professional		$95.39	$346.77	$600.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $6,436.00	Facility		$2,400.00	$3,870.00	$6,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.31 / $472.31 / $758.22	Professional		$357.31	$472.31	$758.22