Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.71 / $215.44 / $3,740.00	Facility		$106.71	$215.44	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,105.72 / $3,105.72 / $3,105.72	Facility	50	$3,105.72	$3,105.72	$3,105.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $138.03 / $228.64	Professional		$105.40	$138.03	$228.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $800.49 / $1,179.00	Professional	50	$165.96	$800.49	$1,179.00
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 $100.24 / $129.77 / $174.08	Professional		$100.24	$129.77	$174.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $150.36 / $194.65 / $261.12	Professional	50	$150.36	$194.65	$261.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.07 / $145.88 / $178.32	Facility		$108.07	$145.88	$178.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $154.59 / $197.87	Professional		$123.67	$154.59	$197.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $266.26	Facility		$198.85	$198.85	$266.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $190.31 / $313.83	Professional		$125.75	$190.31	$313.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $62.10 / $136.04	Professional		$32.34	$62.10	$136.04
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 $130.61 / $189.97 / $268.83	Professional		$130.61	$189.97	$268.83