Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $188.96 / $3,740.00	Facility		$52.22	$188.96	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $871.87 / $871.87 / $871.87	Facility	50	$871.87	$871.87	$871.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $85.98 / $164.50	Professional		$48.65	$85.98	$164.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $65.67 / $138.19	Professional		$55.81	$65.67	$138.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.72 / $98.50 / $207.30	Professional	50	$83.72	$98.50	$207.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $71.31 / $89.15	Facility		$49.70	$71.31	$89.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $73.56 / $150.16	Professional		$50.94	$73.56	$150.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $111.65	Facility		$93.73	$93.73	$111.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $147.04 / $257.85	Professional		$75.63	$147.04	$257.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.60 / $95.98	Professional		$32.34	$34.60	$95.98
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 $90.24 / $155.71 / $198.07	Professional		$90.24	$155.71	$198.07