Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $1,240.00 / $5,320.00	Facility		$151.13	$1,240.00	$5,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,381.50 / $2,283.86 / $2,413.64	Facility	50	$1,381.50	$2,283.86	$2,413.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $156.69 / $279.01	Professional		$148.08	$156.69	$279.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.46 / $83.46 / $83.46	Professional	50	$83.46	$83.46	$83.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $169.92 / $251.30	Professional		$140.22	$169.92	$251.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $210.33 / $254.88 / $376.95	Professional	50	$210.33	$254.88	$376.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $205.41 / $236.95	Facility		$150.19	$205.41	$236.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $205.41 / $293.44	Professional		$160.71	$205.41	$293.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $180.12 / $194.53	Facility		$180.12	$180.12	$194.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $223.96 / $347.27	Professional		$162.13	$223.96	$347.27
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 $141.71 / $223.69 / $304.52	Professional		$141.71	$223.69	$304.52