Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,778.28 / $8,511.38	Facility		$104.71	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $269.15	Professional		$102.33	$162.18	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $141.25	Professional		$72.44	$87.10	$141.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $128.82 / $208.93	Professional	50	$107.15	$128.82	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $162.18	Facility		$100.00	$134.90	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $165.96	Professional		$91.20	$141.25	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $190.55	Facility		$34.67	$186.21	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $870.96	Professional		$107.15	$199.53	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $288.40	Professional		$97.72	$165.96	$288.40