Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $5,495.41	Facility		$537.03	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,000.00	Professional		$457.09	$602.56	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $1,862.09 / $1,862.09	Professional	50	$741.31	$1,862.09	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $4,365.16	Facility		$1,412.54	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $1,023.29	Professional		$363.08	$436.52	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $549.54 / $645.65 / $1,513.56	Professional	50	$549.54	$645.65	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $660.69	Facility		$416.87	$512.86	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $691.83	Professional		$416.87	$575.44	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,862.09	Facility		$758.58	$758.58	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $3,388.44	Professional		$426.58	$676.08	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $933.25	Professional		$407.38	$549.54	$933.25