Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $96.72 / $1,378.00	Facility		$46.35	$96.72	$1,378.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $89.89 / $89.89 / $89.89	Facility	50	$89.89	$89.89	$89.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $73.06 / $133.71	Professional		$43.61	$73.06	$133.71
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 $46.76 / $55.81 / $79.68	Professional		$46.76	$55.81	$79.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.15 / $83.71 / $119.53	Professional	50	$70.15	$83.71	$119.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $61.67 / $72.68	Facility		$44.05	$61.67	$72.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $82.63 / $102.83	Professional		$57.27	$82.63	$102.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $81.05 / $97.28	Facility		$81.05	$81.05	$97.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $101.71 / $209.50	Professional		$54.07	$101.71	$209.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $126.67 / $160.99	Professional		$76.16	$126.67	$160.99