Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $256.67 / $3,740.00	Facility		$76.53	$256.67	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $177.30 / $256.67	Professional		$83.55	$177.30	$256.67
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 $79.67 / $143.66 / $223.63	Professional		$79.67	$143.66	$223.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.50 / $215.51 / $335.45	Professional	50	$119.50	$215.51	$335.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $97.40 / $112.35	Facility		$70.95	$97.40	$112.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $194.19 / $252.53	Professional		$90.44	$194.19	$252.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $177.27	Facility		$128.01	$128.01	$177.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $188.46 / $347.67	Professional		$97.10	$188.46	$347.67
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 $175.28 / $247.17 / $365.26	Professional		$175.28	$247.17	$365.26