Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $851.14 / $8,511.38	Facility		$79.43	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $147.91	Professional		$79.43	$102.33	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $109.65 / $239.88	Professional	50	$109.65	$109.65	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $112.20	Professional		$72.44	$87.10	$112.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $131.83 / $165.96	Professional	50	$109.65	$131.83	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $616.60	Facility		$70.79	$87.10	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $117.49	Professional		$70.79	$97.72	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $128.82 / $128.82	Facility		$34.67	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $446.68	Professional		$79.43	$134.90	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $165.96	Professional		$81.28	$107.15	$165.96