Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $265.52 / $3,740.00	Facility		$65.62	$265.52	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $169.99 / $258.60	Professional		$73.02	$169.99	$258.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.38 / $630.38 / $630.38	Professional	50	$630.38	$630.38	$630.38
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 $54.57 / $66.09 / $83.32	Professional		$54.57	$66.09	$83.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.84 / $99.15 / $124.98	Professional	50	$81.84	$99.15	$124.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $106.81 / $133.51	Facility		$74.98	$106.81	$133.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $109.31 / $295.30	Professional		$83.19	$109.31	$295.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $209.17 / $385.12	Professional		$94.15	$209.17	$385.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.46 / $210.93	Professional		$32.34	$51.46	$210.93
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 $200.09 / $283.37 / $390.21	Professional		$200.09	$283.37	$390.21