Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $1,493.14 / $2,831.22	Facility		$180.98	$1,493.14	$2,831.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $1,535.52 / $2,435.64	Professional		$172.81	$1,535.52	$2,435.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $1,434.74 / $2,067.38	Professional		$153.65	$1,434.74	$2,067.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $230.48 / $2,152.11 / $3,101.07	Professional	50	$230.48	$2,152.11	$3,101.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.82 / $230.34 / $265.72	Facility		$167.82	$230.34	$265.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.26 / $263.25 / $2,090.40	Professional		$180.26	$263.25	$2,090.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.74 / $302.74 / $302.74	Facility		$302.74	$302.74	$302.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.58 / $1,453.54 / $3,772.77	Professional		$206.58	$1,453.54	$3,772.77
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,632.29 / $2,877.04 / $3,650.48	Professional		$1,632.29	$2,877.04	$3,650.48