Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.77 / $860.06 / $5,320.00	Facility		$141.77	$860.06	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $809.31 / $1,132.52	Professional		$141.77	$809.31	$1,132.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.36 / $695.01 / $1,037.86	Professional		$127.36	$695.01	$1,037.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $191.04 / $1,042.52 / $1,556.80	Professional	50	$191.04	$1,042.52	$1,556.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $192.44 / $222.00	Facility		$140.72	$192.44	$222.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $219.94 / $1,516.47	Professional		$163.58	$219.94	$1,516.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $252.93 / $252.93	Facility		$252.93	$252.93	$252.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $828.37 / $1,756.24	Professional		$156.69	$828.37	$1,756.24
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.60 / $1,340.43 / $1,776.00	Professional		$854.60	$1,340.43	$1,776.00