Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.76 / $2,774.51 / $9,128.46	Facility		$741.76	$2,774.51	$9,128.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $359.50 / $370.88 / $463.87	Facility	52	$359.50	$370.88	$463.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.99 / $855.07 / $1,178.71	Professional		$718.99	$855.07	$1,178.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.00 / $891.87 / $1,166.40	Professional		$736.00	$891.87	$1,166.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $688.32 / $944.06 / $1,089.04	Facility		$688.32	$944.06	$1,089.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $674.33 / $944.06 / $1,348.66	Professional		$674.33	$944.06	$1,348.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.17 / $828.22 / $828.22	Facility		$781.17	$828.22	$828.22
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $648.11 / $648.11 / $648.11	Facility	52	$648.11	$648.11	$648.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.60 / $1,119.21 / $1,814.03	Professional		$705.60	$1,119.21	$1,814.03
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.47 / $1,102.00 / $1,463.20	Professional		$735.47	$1,102.00	$1,463.20