Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $369.36 / $5,320.00	Facility		$158.78	$369.36	$5,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,997.05 / $10,931.10 / $10,931.10	Facility	50	$2,997.05	$10,931.10	$10,931.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $234.52 / $369.36	Professional		$158.78	$234.52	$369.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $249.22 / $338.23	Professional		$164.45	$249.22	$338.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $246.68 / $373.83 / $507.34	Professional	50	$246.68	$373.83	$507.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.65 / $215.67 / $248.79	Facility		$157.65	$215.67	$248.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.32 / $225.45 / $461.28	Professional		$183.32	$225.45	$461.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.70 / $283.45 / $283.45	Facility		$237.70	$283.45	$283.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $317.12 / $623.72	Professional		$197.37	$317.12	$623.72
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $392.05 / $499.91	Professional		$243.77	$392.05	$499.91