Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $161.68 / $3,740.00	Facility		$60.81	$161.68	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $114.01 / $173.45	Professional		$63.87	$114.01	$173.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $50.88 / $60.58 / $134.06	Professional		$50.88	$60.58	$134.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $76.33 / $90.88 / $201.09	Professional	50	$76.33	$90.88	$201.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $97.94 / $122.43	Facility		$69.11	$97.94	$122.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $99.76 / $217.62	Professional		$69.95	$99.76	$217.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.49 / $128.72 / $128.72	Facility		$85.49	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $145.49 / $258.52	Professional		$80.23	$145.49	$258.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.80	Professional		$32.34	$32.34	$165.80
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 $121.54 / $185.24 / $240.39	Professional		$121.54	$185.24	$240.39