Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.60 / $1,354.00 / $8,067.26	Facility		$306.60	$1,354.00	$8,067.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,461.18 / $9,461.18 / $9,461.18	Facility	50	$9,461.18	$9,461.18	$9,461.18
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.52 / $153.30 / $182.79	Facility	52	$148.52	$153.30	$182.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.41 / $61.32 / $73.11	Facility	53	$59.41	$61.32	$73.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $337.98 / $558.34	Professional		$297.02	$337.98	$558.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.88 / $340.37 / $470.56	Professional		$280.88	$340.37	$470.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.30 / $390.22 / $450.15	Facility		$284.30	$390.22	$450.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.17 / $390.22 / $557.46	Professional		$304.17	$390.22	$557.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.02 / $342.11 / $342.11	Facility		$306.02	$342.11	$342.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $266.33 / $266.33 / $266.33	Facility	52	$266.33	$266.33	$266.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $66.59 / $66.59 / $66.59	Facility	53	$66.59	$66.59	$66.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.94 / $433.67 / $680.38	Professional		$292.94	$433.67	$680.38
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 $292.33 / $427.07 / $593.41	Professional		$292.33	$427.07	$593.41