Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.94 / $3,879.84 / $10,394.95	Facility		$494.94	$3,879.84	$10,394.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,025.00 / $2,025.00 / $2,025.00	Facility	50	$2,025.00	$2,025.00	$2,025.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $139.87 / $139.87 / $230.33	Facility	52	$139.87	$139.87	$230.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.95 / $55.95 / $92.13	Facility	53	$55.95	$55.95	$92.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.73 / $309.07 / $495.12	Professional		$279.73	$309.07	$495.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.00 / $5,958.00 / $9,462.00	Facility		$3,278.00	$5,958.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.45 / $418.30 / $577.25	Professional		$330.45	$418.30	$577.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.02 / $354.35 / $408.87	Facility		$278.02	$354.35	$408.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $327.10 / $408.87	Professional		$272.58	$327.10	$408.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $2,218.40 / $2,218.40	Facility		$2,218.40	$2,218.40	$2,218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.08 / $402.21 / $647.37	Professional		$285.08	$402.21	$647.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $363.24 / $583.09	Professional		$293.45	$363.24	$583.09