Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $159.84 / $3,740.00	Facility		$37.67	$159.84	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $107.68 / $160.77	Professional		$41.95	$107.68	$160.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $109.75 / $156.66	Professional		$58.30	$109.75	$156.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.45 / $164.62 / $234.99	Professional	50	$87.45	$164.62	$234.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $49.71 / $57.34	Facility		$36.22	$49.71	$57.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $56.82 / $198.95	Professional		$40.84	$56.82	$198.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $152.46	Facility		$65.34	$65.34	$152.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $146.88 / $257.14	Professional		$48.78	$146.88	$257.14
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $184.86 / $244.93	Professional		$114.66	$184.86	$244.93