Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.38 / $1,299.48 / $5,320.00	Facility		$153.38	$1,299.48	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $1,299.48 / $2,106.42	Professional		$156.66	$1,299.48	$2,106.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $1,126.65 / $1,655.59	Professional		$131.78	$1,126.65	$1,655.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $197.67 / $1,689.98 / $2,436.10	Professional	50	$197.67	$1,689.98	$2,436.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $195.22 / $225.19	Facility		$142.22	$195.22	$225.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.71 / $195.56 / $278.88	Professional		$152.71	$195.56	$278.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.57 / $256.57 / $256.57	Facility		$256.57	$256.57	$256.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.18 / $1,190.93 / $2,962.98	Professional		$177.18	$1,190.93	$2,962.98
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 / $1,534.68 / $5,301.00	Facility		$523.00	$1,534.68	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.77 / $2,328.98 / $3,181.37	Professional		$1,602.77	$2,328.98	$3,181.37