Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.08 / $1,465.90 / $3,622.93	Facility		$137.08	$1,465.90	$3,622.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $1,411.52 / $2,065.60	Professional		$137.08	$1,411.52	$2,065.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $1,686.52 / $3,505.88	Professional		$134.71	$1,686.52	$3,505.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $202.07 / $2,529.78 / $4,970.10	Professional	50	$202.07	$2,529.78	$4,970.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.75 / $185.75 / $214.28	Facility		$135.75	$185.75	$214.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $217.20 / $2,665.28	Professional		$157.88	$217.20	$2,665.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.13 / $244.13 / $244.13	Facility		$244.13	$244.13	$244.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.96 / $1,436.80 / $5,796.03	Professional		$169.96	$1,436.80	$5,796.03
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.18 / $3,538.91 / $5,452.76	Professional		$1,905.18	$3,538.91	$5,452.76