Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $340.28 / $3,740.00	Facility		$74.94	$340.28	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $177.05 / $273.37	Professional		$74.94	$177.05	$273.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $77.16 / $168.13	Professional		$63.67	$77.16	$168.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.51 / $115.74 / $252.19	Professional	50	$95.51	$115.74	$252.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $101.15 / $116.68	Facility		$73.86	$101.15	$116.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $115.60 / $414.81	Professional		$85.98	$115.60	$414.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $132.94 / $132.94	Facility		$97.83	$132.94	$132.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $192.51 / $367.86	Professional		$81.25	$192.51	$367.86
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $238.68 / $418.22	Professional		$165.36	$238.68	$418.22