Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.48 / $612.00 / $4,279.17	Facility		$274.48	$612.00	$4,279.17
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,196.34 / $3,196.34 / $3,196.34	Facility	50	$3,196.34	$3,196.34	$3,196.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.93 / $333.57 / $505.88	Professional		$249.93	$333.57	$505.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,567.00 / $4,022.00 / $7,848.00	Facility		$2,567.00	$4,022.00	$7,848.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.26 / $328.65 / $487.04	Professional		$226.26	$328.65	$487.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $339.39 / $492.98 / $730.56	Professional	50	$339.39	$492.98	$730.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.88 / $370.27 / $427.14	Facility		$270.88	$370.27	$427.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $396.15 / $595.08	Professional		$289.83	$396.15	$595.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.02 / $486.64 / $486.64	Facility		$360.02	$486.64	$486.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.97 / $424.83 / $729.47	Professional		$305.97	$424.83	$729.47
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 $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 $330.30 / $484.79 / $739.83	Professional		$330.30	$484.79	$739.83