Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.78 / $352.68 / $5,931.04	Facility		$144.78	$352.68	$5,931.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.35 / $57.25 / $65.91	Facility	53	$26.35	$57.25	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $269.02 / $347.03	Professional		$131.75	$269.02	$347.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,315.00 / $10,795.00	Facility		$1,066.00	$2,315.00	$10,795.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $207.87 / $386.24	Professional		$136.34	$207.87	$386.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.15 / $197.02 / $227.28	Facility		$144.15	$197.02	$227.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.47 / $230.64 / $458.82	Professional		$167.47	$230.64	$458.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.61 / $258.94 / $258.94	Facility		$210.61	$258.94	$258.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.79 / $51.79 / $51.79	Facility	53	$51.79	$51.79	$51.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $294.23 / $600.66	Professional		$190.91	$294.23	$600.66
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 $223.16 / $387.03 / $581.42	Professional		$223.16	$387.03	$581.42