Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.73 / $2,776.82 / $8,229.00	Facility		$244.73	$2,776.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.73 / $2,679.05 / $3,947.45	Professional		$244.73	$2,679.05	$3,947.45
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 $217.45 / $2,620.13 / $3,850.20	Professional		$217.45	$2,620.13	$3,850.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $326.18 / $3,930.19 / $5,775.30	Professional	50	$326.18	$3,930.19	$5,775.30
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $30.44 / $366.81 / $539.02	Professional	AS	$30.44	$366.81	$539.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.61 / $329.53 / $380.13	Facility		$240.61	$329.53	$380.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $376.61 / $5,048.76	Professional		$280.10	$376.61	$5,048.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.10 / $433.10 / $433.10	Facility		$433.10	$433.10	$433.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $2,724.84 / $6,557.94	Professional		$274.70	$2,724.84	$6,557.94
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,354.63 / $5,012.38 / $6,415.42	Professional		$3,354.63	$5,012.38	$6,415.42