Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $96.35 / $3,740.00	Facility		$57.64	$96.35	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $84.26 / $122.01	Professional		$53.55	$84.26	$122.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $150.85 / $235.04	Professional	50	$130.26	$150.85	$235.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,894.00	Facility		$1,041.00	$1,991.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $51.55 / $84.07	Professional		$42.54	$51.55	$84.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.81 / $77.31 / $126.10	Professional	50	$63.81	$77.31	$126.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $77.73 / $97.18	Facility		$54.41	$77.73	$97.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $80.52 / $150.65	Professional		$61.08	$80.52	$150.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $102.18	Facility		$102.18	$102.18	$102.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $113.07 / $182.75	Professional		$69.27	$113.07	$182.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.12 / $96.35	Professional		$32.34	$37.12	$96.35
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $130.38 / $178.18	Professional		$93.02	$130.38	$178.18