Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.45 / $4,674.00 / $7,421.00	Facility		$189.45	$4,674.00	$7,421.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,208.00 / $2,208.00 / $2,208.00	Facility	50	$2,208.00	$2,208.00	$2,208.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $201.14 / $446.58	Professional		$123.56	$201.14	$446.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $317.73 / $685.31 / $741.08	Professional	50	$317.73	$685.31	$741.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.90 / $240.95 / $422.13	Professional		$146.90	$240.95	$422.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $220.35 / $361.57 / $633.20	Professional	50	$220.35	$361.57	$633.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.32 / $178.02 / $294.32	Facility		$147.32	$178.02	$294.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.38 / $240.08 / $414.49	Professional		$238.38	$240.08	$414.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $173.65 / $173.65	Facility		$173.65	$173.65	$173.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.40 / $262.42 / $470.58	Professional		$155.40	$262.42	$470.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.05 / $221.47 / $285.14	Professional		$131.05	$221.47	$285.14
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.52 / $269.18 / $430.13	Professional		$202.52	$269.18	$430.13