Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.26 / $756.00 / $8,229.00	Facility		$182.26	$756.00	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $87.67 / $123.76 / $507.32	Facility	52	$87.67	$123.76	$507.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $510.78 / $760.03	Professional		$181.21	$510.78	$760.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.81 / $144.40 / $380.02	Professional	52	$97.81	$144.40	$380.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.58 / $449.22 / $766.83	Professional		$173.58	$449.22	$766.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.01 / $231.97 / $273.74	Facility		$169.01	$231.97	$273.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $265.10 / $847.21	Professional		$190.54	$265.10	$847.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.87 / $304.87 / $304.87	Facility		$304.87	$304.87	$304.87
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $243.90 / $243.90 / $243.90	Facility	52	$243.90	$243.90	$243.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.59 / $599.30 / $1,178.96	Professional		$219.59	$599.30	$1,178.96
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 $739.00 / $3,828.00 / $11,156.00	Facility		$739.00	$3,828.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.14 / $915.65 / $1,217.29	Professional		$497.14	$915.65	$1,217.29