Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.55 / $1,386.00 / $5,634.00	Facility		$58.55	$1,386.00	$5,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.28 / $29.28 / $49.94	Facility	52	$29.28	$29.28	$49.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $60.06 / $102.53	Professional		$56.71	$60.06	$102.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,119.97 / $8,230.00	Facility		$740.96	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $182.58 / $257.04	Professional		$71.17	$182.58	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.01 / $82.74 / $124.11	Facility		$65.01	$82.74	$124.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $73.88 / $106.38	Professional		$59.10	$73.88	$106.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $152.93 / $284.64	Professional		$68.67	$152.93	$284.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $87.24 / $178.96	Professional		$55.57	$87.24	$178.96