Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $422.71 / $3,524.00	Facility		$60.25	$422.71	$3,524.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.31 / $51.65 / $110.17	Facility	52	$25.31	$51.65	$110.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $122.97 / $260.73	Professional		$57.70	$122.97	$260.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $74.83 / $159.00	Professional		$60.10	$74.83	$159.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $80.91 / $98.88	Facility		$59.93	$80.91	$98.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $149.21 / $199.32	Professional		$77.91	$149.21	$199.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $110.27 / $272.30	Facility		$110.27	$110.27	$272.30
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $153.00 / $284.93	Professional		$81.78	$153.00	$284.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.14 / $142.37	Professional		$32.34	$39.14	$142.37
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $187.37 / $262.41	Professional		$130.47	$187.37	$262.41