Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.03 / $1,069.21 / $8,229.00	Facility		$636.03	$1,069.21	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,653.50 / $8,653.50 / $13,161.00	Facility	50	$8,653.50	$8,653.50	$13,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.72 / $683.89 / $846.28	Professional		$564.72	$683.89	$846.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.57 / $775.78 / $1,108.58	Professional		$570.57	$775.78	$1,108.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $855.86 / $1,163.67 / $1,662.88	Professional	50	$855.86	$1,163.67	$1,662.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.02 / $867.68 / $1,000.92	Facility		$637.02	$867.68	$1,000.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $737.53 / $873.88 / $1,477.59	Professional		$737.53	$873.88	$1,477.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.38 / $1,140.38 / $1,140.38	Facility		$701.38	$1,140.38	$1,140.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.30 / $979.33 / $1,592.05	Professional		$651.30	$979.33	$1,592.05
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 $702.89 / $1,113.92 / $1,563.80	Professional		$702.89	$1,113.92	$1,563.80