Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.79 / $8,229.00 / $14,547.19	Facility		$720.79	$8,229.00	$14,547.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,744.65 / $10,129.29 / $10,129.29	Facility	50	$5,744.65	$10,129.29	$10,129.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $730.16 / $1,130.28	Professional		$570.54	$730.16	$1,130.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,643.00 / $14,688.00	Facility		$3,473.00	$7,643.00	$14,688.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.50 / $723.55 / $1,003.44	Professional		$454.50	$723.55	$1,003.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.58 / $741.41 / $873.81	Facility		$529.58	$741.41	$873.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $668.87 / $769.35 / $1,059.16	Professional		$668.87	$769.35	$1,059.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.73 / $974.43 / $974.43	Facility		$551.73	$974.43	$974.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.02 / $972.91 / $1,727.38	Professional		$600.02	$972.91	$1,727.38
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 $973.00 / $4,639.00 / $11,706.00	Facility		$973.00	$4,639.00	$11,706.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.54 / $1,111.68 / $1,446.98	Professional		$710.54	$1,111.68	$1,446.98