Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.23 / $688.27 / $14,063.00	Facility		$208.23	$688.27	$14,063.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.49 / $215.79 / $344.14	Facility	52	$99.49	$215.79	$344.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $510.78 / $688.27	Professional		$174.41	$510.78	$688.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.81 / $255.39 / $344.14	Professional	52	$97.81	$255.39	$344.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $522.58 / $1,356.94	Professional		$282.00	$522.58	$1,356.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.02 / $210.31 / $716.69	Facility		$165.02	$210.31	$716.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $613.21 / $766.52	Professional		$521.23	$613.21	$766.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.41 / $564.41 / $564.41	Facility		$564.41	$564.41	$564.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $640.86 / $1,213.63	Professional		$212.10	$640.86	$1,213.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.53 / $839.33 / $1,195.00	Professional		$573.53	$839.33	$1,195.00