Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.36 / $178.64 / $3,740.00	Facility		$103.36	$178.64	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $157.38 / $189.78	Professional		$103.36	$157.38	$189.78
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 $71.05 / $86.10 / $141.47	Professional		$71.05	$86.10	$141.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.57 / $129.15 / $212.22	Professional	50	$106.57	$129.15	$212.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.10 / $140.38 / $161.96	Facility		$103.10	$140.38	$161.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $158.75 / $318.87	Professional		$119.33	$158.75	$318.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.38 / $184.52 / $184.52	Facility		$156.38	$184.52	$184.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $174.24 / $331.24	Professional		$106.26	$174.24	$331.24
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 $149.26 / $239.74 / $323.49	Professional		$149.26	$239.74	$323.49