Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.88 / $798.79 / $8,229.00	Facility		$507.88	$798.79	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,604.57 / $7,435.79 / $11,594.68	Facility	50	$1,604.57	$7,435.79	$11,594.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.18 / $554.89 / $811.62	Professional		$471.18	$554.89	$811.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $4,045.00 / $11,262.00	Facility		$2,288.00	$4,045.00	$11,262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.28 / $605.44 / $879.09	Professional		$480.28	$605.44	$879.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $720.42 / $908.16 / $1,318.64	Professional	50	$720.42	$908.16	$1,318.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.60 / $668.66 / $852.54	Facility		$507.60	$668.66	$852.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.30 / $694.66 / $1,110.30	Professional		$495.30	$694.66	$1,110.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.86 / $911.35 / $2,617.00	Facility		$501.86	$911.35	$2,617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.52 / $627.75 / $1,130.13	Professional		$499.52	$627.75	$1,130.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $721.70	Professional		$32.34	$32.34	$721.70
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.33 / $656.86 / $1,020.84	Professional		$513.33	$656.86	$1,020.84