Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.52 / $787.00 / $2,747.00	Facility		$176.52	$787.00	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $898.62 / $898.62 / $6,301.32	Facility	50	$898.62	$898.62	$6,301.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $361.95 / $1,357.41	Professional		$177.92	$361.95	$1,357.41
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 $127.14 / $297.58 / $921.74	Professional		$127.14	$297.58	$921.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.71 / $446.37 / $1,382.61	Professional	50	$190.71	$446.37	$1,382.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $224.66 / $265.12	Facility		$163.94	$224.66	$265.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $256.75 / $1,383.60	Professional		$175.42	$256.75	$1,383.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.92 / $295.26 / $295.26	Facility		$259.92	$295.26	$295.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.60 / $787.45 / $1,487.37	Professional		$207.60	$787.45	$1,487.37
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.10 / $1,146.57 / $1,610.84	Professional		$841.10	$1,146.57	$1,610.84