Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.94 / $567.78 / $3,740.00	Facility		$99.94	$567.78	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,937.65 / $3,937.65 / $5,906.85	Facility	50	$3,937.65	$3,937.65	$5,906.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $427.20 / $698.80	Professional		$97.97	$427.20	$698.80
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 $91.46 / $362.29 / $542.52	Professional		$91.46	$362.29	$542.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $137.19 / $543.44 / $813.79	Professional	50	$137.19	$543.44	$813.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $127.19 / $146.72	Facility		$92.66	$127.19	$146.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $131.72 / $984.52	Professional		$104.48	$131.72	$984.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $167.16 / $167.16	Facility		$167.16	$167.16	$167.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $458.38 / $902.07	Professional		$109.10	$458.38	$902.07
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.65 / $645.53 / $1,016.97	Professional		$447.65	$645.53	$1,016.97