Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $787.00 / $3,740.00	Facility		$50.06	$787.00	$3,740.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.03 / $29.80 / $95.32	Facility	52	$25.03	$29.80	$95.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $59.59 / $190.64	Professional		$50.06	$59.59	$190.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $83.74 / $190.40	Professional		$69.09	$83.74	$190.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.97 / $84.78 / $105.98	Facility		$58.97	$84.78	$105.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $84.78 / $121.12	Professional		$60.56	$84.78	$121.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $72.65 / $72.65	Facility		$72.65	$72.65	$72.65
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.37 / $56.37 / $56.37	Facility	52	$56.37	$56.37	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $135.06 / $256.97	Professional		$82.54	$135.06	$256.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $78.73	Professional		$32.34	$32.34	$78.73
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 $64.86 / $109.76 / $187.16	Professional		$64.86	$109.76	$187.16