Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $400.00 / $3,740.00	Facility		$53.53	$400.00	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,515.94 / $1,515.94 / $2,675.56	Facility	50	$1,515.94	$1,515.94	$2,675.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $75.70 / $155.26	Professional		$49.48	$75.70	$155.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	50	$326.91	$326.91	$326.91
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 $51.57 / $60.68 / $103.26	Professional		$51.57	$60.68	$103.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.36 / $91.02 / $154.88	Professional	50	$77.36	$91.02	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.33 / $72.27 / $90.34	Facility		$50.33	$72.27	$90.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $74.58 / $134.31	Professional		$51.62	$74.58	$134.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $94.98 / $203.45	Facility		$94.98	$94.98	$203.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $132.86 / $254.81	Professional		$70.31	$132.86	$254.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.85 / $85.49	Professional		$32.34	$35.85	$85.49
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 $85.55 / $143.94 / $191.57	Professional		$85.55	$143.94	$191.57