Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.71 / $6,569.54 / $14,057.20	Facility		$524.71	$6,569.54	$14,057.20
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,223.48 / $2,223.48 / $2,223.48	Facility	22	$2,223.48	$2,223.48	$2,223.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,120.00 / $4,252.68 / $10,422.35	Facility	50	$3,120.00	$4,252.68	$10,422.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.29 / $429.44 / $781.81	Professional		$408.29	$429.44	$781.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,269.00 / $8,800.00	Facility		$2,088.00	$4,269.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.36 / $375.72 / $560.48	Professional		$319.36	$375.72	$560.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.45 / $535.42 / $631.04	Facility		$382.45	$535.42	$631.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.45 / $500.63 / $631.04	Professional		$382.45	$500.63	$631.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.50 / $469.50 / $469.50	Facility		$469.50	$469.50	$469.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.27 / $580.84 / $869.07	Professional		$403.27	$580.84	$869.07
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 $842.00 / $4,539.00 / $10,069.00	Facility		$842.00	$4,539.00	$10,069.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.22 / $587.96 / $816.95	Professional		$402.22	$587.96	$816.95