Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $179.38 / $3,740.00	Facility		$52.22	$179.38	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $95.72 / $172.97	Professional		$48.30	$95.72	$172.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $715.80 / $737.28	Professional	50	$204.82	$715.80	$737.28
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 $65.56 / $77.13 / $122.70	Professional		$65.56	$77.13	$122.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.34 / $115.69 / $184.05	Professional	50	$98.34	$115.69	$184.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $70.45 / $88.08	Facility		$49.47	$70.45	$88.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $72.14 / $166.02	Professional		$55.36	$72.14	$166.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $221.69	Facility		$92.61	$92.61	$221.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $149.33 / $254.08	Professional		$79.84	$149.33	$254.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.80 / $106.85	Professional		$32.34	$34.80	$106.85
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 $109.60 / $153.71 / $220.31	Professional		$109.60	$153.71	$220.31