Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.17 / $2,747.00 / $8,067.26	Facility		$308.17	$2,747.00	$8,067.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,631.00 / $11,631.00 / $11,631.00	Facility	50	$11,631.00	$11,631.00	$11,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.88 / $748.95 / $5,141.64	Professional		$297.88	$748.95	$5,141.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $6,839.34 / $6,839.34 / $6,839.34	Professional	50	$6,839.34	$6,839.34	$6,839.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $2,613.26 / $4,068.10	Professional		$252.79	$2,613.26	$4,068.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $379.18 / $3,919.89 / $6,102.16	Professional	50	$379.18	$3,919.89	$6,102.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.66 / $392.21 / $452.45	Facility		$286.66	$392.21	$452.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $322.17 / $448.24 / $5,451.69	Professional		$322.17	$448.24	$5,451.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.48 / $515.48 / $515.48	Facility		$515.48	$515.48	$515.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.04 / $2,983.14 / $7,338.35	Professional		$374.04	$2,983.14	$7,338.35
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 $1,168.00 / $6,186.00 / $33,259.00	Facility		$1,168.00	$6,186.00	$33,259.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,248.71 / $5,540.38 / $6,993.42	Professional		$3,248.71	$5,540.38	$6,993.42