Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $148.76 / $5,215.53	Facility		$89.92	$148.76	$5,215.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $130.31 / $178.85	Professional		$81.17	$130.31	$178.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,516.00	Facility		$1,359.00	$2,292.00	$4,516.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $120.38 / $158.87	Professional		$81.09	$120.38	$158.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $121.63 / $180.57 / $238.30	Professional	50	$121.63	$180.57	$238.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $117.34 / $133.47	Facility		$86.92	$117.34	$133.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $156.77 / $228.03	Professional		$108.65	$156.77	$228.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.93 / $159.93 / $1,111.00	Facility		$159.93	$159.93	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $146.97 / $300.42	Professional		$89.16	$146.97	$300.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.28	Professional		$32.34	$32.34	$185.28
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $181.05 / $262.73	Professional		$134.19	$181.05	$262.73