Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.43 / $535.99 / $3,594.48	Facility		$84.43	$535.99	$3,594.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.99 / $62.65 / $268.00	Facility	52	$40.99	$62.65	$268.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.39 / $25.06 / $107.20	Facility	53	$16.39	$25.06	$107.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $208.16 / $535.99	Professional		$81.98	$208.16	$535.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $217.29 / $324.56	Professional		$60.49	$217.29	$324.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $107.45 / $126.80	Facility		$78.06	$107.45	$126.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $366.21 / $478.59	Professional		$99.78	$366.21	$478.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $141.22 / $141.22	Facility		$141.22	$141.22	$141.22
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.98 / $112.98 / $112.98	Facility	52	$112.98	$112.98	$112.98
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.24 / $28.24 / $28.24	Facility	53	$28.24	$28.24	$28.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $378.10 / $713.44	Professional		$101.27	$378.10	$713.44
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 $523.00 / $1,450.00 / $11,156.00	Facility		$523.00	$1,450.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.95 / $598.61 / $751.82	Professional		$381.95	$598.61	$751.82