Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.80 / $118.81 / $8,229.00	Facility		$79.80	$118.81	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $112.34 / $160.69	Professional		$79.80	$112.34	$160.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $108.35 / $152.38	Professional		$70.38	$108.35	$152.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $105.58 / $162.53 / $226.61	Professional	50	$105.58	$162.53	$226.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $109.12 / $125.88	Facility		$79.64	$109.12	$125.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $111.92 / $216.02	Professional		$92.75	$111.92	$216.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.30 / $143.41 / $143.41	Facility		$135.30	$143.41	$143.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $144.07 / $238.42	Professional		$87.90	$144.07	$238.42
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $161.16 / $223.94	Professional		$110.46	$161.16	$223.94