Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.45 / $1,138.16 / $8,229.00	Facility		$288.45	$1,138.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.01 / $1,094.64 / $1,891.40	Professional		$275.01	$1,094.64	$1,891.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.88 / $958.47 / $1,629.43	Professional		$234.88	$958.47	$1,629.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $352.33 / $1,437.71 / $2,398.62	Professional	50	$352.33	$1,437.71	$2,398.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.86 / $356.64 / $419.57	Facility		$247.86	$356.64	$419.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.91 / $391.27 / $1,535.98	Professional		$300.91	$391.27	$1,535.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.84 / $1,112.31 / $2,660.52	Professional		$329.84	$1,112.31	$2,660.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,158.12	Professional		$32.34	$32.34	$1,158.12
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,853.00 / $8,979.00	Facility		$739.00	$3,853.00	$8,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.50 / $1,937.72 / $2,421.30	Professional		$1,201.50	$1,937.72	$2,421.30