Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.68 / $182.74 / $3,380.80	Facility		$102.68	$182.74	$3,380.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,012.38 / $1,716.00 / $1,716.00	Facility	50	$1,012.38	$1,716.00	$1,716.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $121.76 / $218.74	Professional		$97.41	$121.76	$218.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.51 / $700.42 / $898.50	Professional	50	$77.51	$700.42	$898.50
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 $80.62 / $94.85 / $137.74	Professional		$80.62	$94.85	$137.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.93 / $142.27 / $206.61	Professional	50	$120.93	$142.27	$206.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.16 / $136.57 / $167.12	Facility		$101.16	$136.57	$167.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $151.84 / $200.88	Professional		$121.47	$151.84	$200.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $186.13	Facility		$186.13	$186.13	$186.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $168.45 / $236.57	Professional		$115.04	$168.45	$236.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.51 / $138.11	Professional		$32.34	$65.51	$138.11
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 $124.07 / $173.40 / $222.76	Professional		$124.07	$173.40	$222.76