Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $188.30 / $3,740.00	Facility		$36.00	$188.30	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $72.91 / $154.49	Professional		$39.84	$72.91	$154.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $646.98 / $646.98 / $646.98	Professional	50	$646.98	$646.98	$646.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $77.89 / $114.30	Professional		$60.17	$77.89	$114.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $90.25 / $116.83 / $171.45	Professional	50	$90.25	$116.83	$171.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.57 / $58.38 / $72.98	Facility		$40.57	$58.38	$72.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $60.45 / $124.26	Professional		$41.70	$60.45	$124.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $232.71	Facility		$76.73	$76.73	$232.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $134.08 / $213.60	Professional		$63.19	$134.08	$213.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $32.34 / $79.27	Professional		$27.10	$32.34	$79.27
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $129.21 / $172.64	Professional		$79.18	$129.21	$172.64