Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,128.31	Facility		$851.14	$1,778.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $3,019.95	Professional		$954.99	$1,148.15	$3,019.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional	50	$4,168.69	$4,168.69	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $8,511.38	Facility		$2,089.30	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,584.89	Professional		$724.44	$851.14	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,096.48 / $1,288.25 / $2,344.23	Professional	50	$1,096.48	$1,288.25	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,445.44	Facility		$912.01	$1,122.02	$1,445.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,513.56	Professional		$912.01	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,290.87	Facility		$1,659.59	$1,659.59	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $5,495.41	Professional		$812.83	$1,584.89	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,737.80	Professional		$776.25	$1,000.00	$1,737.80