Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.63 / $935.00 / $4,019.12	Facility		$71.63	$935.00	$4,019.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $105.56 / $158.94	Professional		$59.58	$105.56	$158.94
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 $49.92 / $60.49 / $141.59	Professional		$49.92	$60.49	$141.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.88 / $90.73 / $212.38	Professional	50	$74.88	$90.73	$212.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.12 / $87.91 / $107.60	Facility		$65.12	$87.91	$107.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $143.16 / $183.74	Professional		$85.24	$143.16	$183.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.69 / $119.82 / $119.82	Facility		$103.69	$119.82	$119.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $133.47 / $243.08	Professional		$75.36	$133.47	$243.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.34 / $131.24	Professional		$32.34	$40.34	$131.24
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,073.00 / $3,394.00	Facility		$391.00	$1,073.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $157.34 / $225.64	Professional		$109.03	$157.34	$225.64