Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.37 / $262.98 / $3,740.00	Facility		$65.37	$262.98	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $173.37 / $259.56	Professional		$72.45	$173.37	$259.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $220.42 / $220.42	Professional	50	$220.42	$220.42	$220.42
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 $53.07 / $63.97 / $81.01	Professional		$53.07	$63.97	$81.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.61 / $95.95 / $121.51	Professional	50	$79.61	$95.95	$121.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $106.41 / $133.02	Facility		$74.70	$106.41	$133.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $108.92 / $303.14	Professional		$74.30	$108.92	$303.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $139.86	Facility		$139.86	$139.86	$139.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $207.63 / $383.53	Professional		$91.54	$207.63	$383.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.04 / $216.54	Professional		$32.34	$50.04	$216.54
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 $194.56 / $272.64 / $386.35	Professional		$194.56	$272.64	$386.35