Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.56 / $862.10 / $5,320.00	Facility		$205.56	$862.10	$5,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,497.56 / $5,497.56 / $5,497.56	Facility	50	$5,497.56	$5,497.56	$5,497.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.93 / $141.88 / $499.66	Facility	52	$100.93	$141.88	$499.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $40.36 / $56.75 / $199.86	Facility	53	$40.36	$56.75	$199.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $768.71 / $1,061.05	Professional		$201.85	$768.71	$1,061.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.34 / $651.70 / $939.25	Professional		$197.34	$651.70	$939.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.61 / $261.62 / $301.80	Facility		$190.61	$261.62	$301.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.38 / $298.99 / $1,513.00	Professional		$222.38	$298.99	$1,513.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.84 / $343.84 / $343.84	Facility		$343.84	$343.84	$343.84
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.07 / $275.07 / $275.07	Facility	52	$275.07	$275.07	$275.07
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.77 / $68.77 / $68.77	Facility	53	$68.77	$68.77	$68.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.91 / $797.19 / $1,537.07	Professional		$238.91	$797.19	$1,537.07
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.05 / $1,162.19 / $1,630.89	Professional		$806.05	$1,162.19	$1,630.89