Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.41 / $680.10 / $8,229.00	Facility		$464.41	$680.10	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,030.37 / $2,030.37 / $2,030.37	Facility	50	$2,030.37	$2,030.37	$2,030.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.92 / $545.11 / $733.00	Professional		$424.92	$545.11	$733.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.20 / $411.04 / $704.87	Professional		$339.20	$411.04	$704.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $508.81 / $616.55 / $1,057.30	Professional	50	$508.81	$616.55	$1,057.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $574.36 / $656.42	Facility		$408.71	$574.36	$656.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $470.77 / $578.47 / $923.09	Professional		$470.77	$578.47	$923.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.81 / $754.88 / $1,117.44	Facility		$456.81	$754.88	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.85 / $639.95 / $2,121.96	Professional		$398.85	$639.95	$2,121.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $369.60	Professional		$32.34	$32.34	$369.60
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.34 / $659.36 / $1,060.19	Professional		$487.34	$659.36	$1,060.19