Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.79 / $1,533.27 / $8,229.00	Facility		$240.79	$1,533.27	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.88 / $159.05 / $813.21	Facility	52	$115.88	$159.05	$813.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $657.00 / $1,785.31	Professional		$231.75	$657.00	$1,785.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $130.13 / $190.86 / $766.64	Professional	52	$130.13	$190.86	$766.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $3,614.00 / $8,509.00	Facility		$2,315.00	$3,614.00	$8,509.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $824.19 / $1,211.14	Professional		$187.91	$824.19	$1,211.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.28 / $306.45 / $353.53	Facility		$223.28	$306.45	$353.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.74 / $357.23 / $1,504.57	Professional		$251.74	$357.23	$1,504.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.78 / $402.78 / $402.78	Facility		$402.78	$402.78	$402.78
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $322.22 / $322.22 / $322.22	Facility	52	$322.22	$322.22	$322.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.30 / $1,108.06 / $2,179.71	Professional		$263.30	$1,108.06	$2,179.71
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,241.17 / $1,746.93 / $2,491.96	Professional		$1,241.17	$1,746.93	$2,491.96