Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $2,305.62 / $8,229.00	Facility		$161.41	$2,305.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $2,168.50 / $3,124.19	Professional		$161.41	$2,168.50	$3,124.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $131.77 / $188.91	Professional		$108.74	$131.77	$188.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $163.11 / $197.65 / $283.37	Professional	50	$163.11	$197.65	$283.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $218.40 / $251.94	Facility		$159.63	$218.40	$251.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $249.60 / $3,171.13	Professional		$170.80	$249.60	$3,171.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.04 / $287.04 / $287.04	Facility		$287.04	$287.04	$287.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $2,048.36 / $5,021.22	Professional		$177.89	$2,048.36	$5,021.22
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,894.61 / $4,024.21 / $5,461.13	Professional		$2,894.61	$4,024.21	$5,461.13