Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $171.21 / $8,067.26	Facility		$51.06	$171.21	$8,067.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.64 / $137.31	Professional		$56.23	$91.64	$137.31
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 $54.42 / $65.70 / $104.70	Professional		$54.42	$65.70	$104.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.63 / $98.55 / $157.05	Professional	50	$81.63	$98.55	$157.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.38 / $80.16 / $97.98	Facility		$59.38	$80.16	$97.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $125.04 / $160.47	Professional		$77.19	$125.04	$160.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $109.26 / $114.92	Facility		$109.26	$109.26	$114.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $107.14 / $229.85	Professional		$74.70	$107.14	$229.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.66 / $114.62	Professional		$32.34	$33.66	$114.62
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 $75.18 / $115.96 / $164.47	Professional		$75.18	$115.96	$164.47