Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.69 / $935.00 / $3,425.55	Facility		$73.69	$935.00	$3,425.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $117.15 / $159.15	Professional		$64.02	$117.15	$159.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.67 / $382.73 / $382.73	Professional	50	$342.67	$382.73	$382.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $73.04 / $107.78	Professional		$61.59	$73.04	$107.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.38 / $109.56 / $161.66	Professional	50	$92.38	$109.56	$161.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $90.44 / $110.67	Facility		$66.98	$90.44	$110.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $161.94 / $213.26	Professional		$83.74	$161.94	$213.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $123.26 / $168.15	Facility		$123.26	$123.26	$168.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $152.60 / $270.45	Professional		$81.11	$152.60	$270.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.81 / $152.33	Professional		$32.34	$33.81	$152.33
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 $116.99 / $170.92 / $231.64	Professional		$116.99	$170.92	$231.64