Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $494.00 / $8,229.00	Facility		$82.98	$494.00	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.00 / $741.00 / $1,482.00	Facility	50	$741.00	$741.00	$1,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $211.74 / $433.56	Professional		$73.44	$211.74	$433.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $84.03 / $419.51	Professional		$69.34	$84.03	$419.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $102.59 / $120.70	Facility		$73.26	$102.59	$120.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $109.51 / $388.11	Professional		$82.49	$109.51	$388.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.56 / $138.81 / $138.81	Facility		$95.56	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $258.08 / $481.29	Professional		$91.19	$258.08	$481.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $287.38	Professional		$32.34	$32.34	$287.38
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $316.13 / $572.04	Professional		$241.37	$316.13	$572.04