Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $252.99 / $4,655.10	Facility		$61.43	$252.99	$4,655.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $114.75 / $172.95	Professional		$57.06	$114.75	$172.95
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 $48.57 / $58.85 / $103.20	Professional		$48.57	$58.85	$103.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.84 / $88.27 / $154.80	Professional	50	$72.84	$88.27	$154.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.86 / $84.15 / $105.19	Facility		$58.86	$84.15	$105.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $87.16 / $240.88	Professional		$65.44	$87.16	$240.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.96 / $110.60 / $110.60	Facility		$104.96	$110.60	$110.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $145.94 / $264.89	Professional		$79.89	$145.94	$264.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.53 / $155.38	Professional		$32.34	$38.53	$155.38
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,275.00 / $3,394.00	Facility		$391.00	$1,275.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $180.32 / $240.39	Professional		$122.14	$180.32	$240.39