Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.77 / $637.00 / $7,964.42	Facility		$270.77	$637.00	$7,964.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,406.89 / $5,931.81 / $12,100.89	Facility	50	$4,406.89	$5,931.81	$12,100.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.13 / $455.12 / $801.69	Professional		$297.13	$455.12	$801.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $147.66 / $201.49 / $276.56	Professional	52	$147.66	$201.49	$276.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.70 / $477.63 / $803.68	Professional		$374.70	$477.63	$803.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $562.04 / $716.44 / $1,205.52	Professional	50	$562.04	$716.44	$1,205.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $344.61 / $397.54	Facility		$252.60	$344.61	$397.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $364.19 / $737.96	Professional		$270.27	$364.19	$737.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.92 / $452.92 / $452.92	Facility		$452.92	$452.92	$452.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.46 / $623.12 / $1,241.05	Professional		$349.46	$623.12	$1,241.05
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 $739.00 / $3,853.00 / $8,582.00	Facility		$739.00	$3,853.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.23 / $701.33 / $1,133.83	Professional		$449.23	$701.33	$1,133.83