Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $99.95 / $2,747.00	Facility		$41.64	$99.95	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $82.45 / $121.84	Professional		$42.46	$82.45	$121.84
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 $47.12 / $64.68 / $107.90	Professional		$47.12	$64.68	$107.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.68 / $97.02 / $161.85	Professional	50	$70.68	$97.02	$161.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $60.82 / $68.90	Facility		$45.05	$60.82	$68.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $116.95 / $170.11	Professional		$56.31	$116.95	$170.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $82.89 / $82.89	Facility		$69.13	$82.89	$82.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $92.96 / $179.23	Professional		$48.10	$92.96	$179.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $112.42 / $194.25	Professional		$79.94	$112.42	$194.25