Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.77 / $557.00 / $5,320.00	Facility		$171.77	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $425.18 / $585.20	Professional		$171.77	$425.18	$585.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $342.89 / $512.04	Professional		$154.49	$342.89	$512.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $231.74 / $514.33 / $768.06	Professional	50	$231.74	$514.33	$768.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.86 / $233.14 / $268.95	Facility		$169.86	$233.14	$268.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.51 / $241.47 / $876.74	Professional		$191.51	$241.47	$876.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.42 / $306.42 / $306.42	Facility		$306.42	$306.42	$306.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.02 / $507.38 / $866.26	Professional		$190.02	$507.38	$866.26
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 $465.20 / $681.99 / $1,004.33	Professional		$465.20	$681.99	$1,004.33