Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $240.67 / $3,740.00	Facility		$103.70	$240.67	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $142.06 / $240.67	Professional		$96.58	$142.06	$240.67
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 $87.05 / $102.42 / $152.38	Professional		$87.05	$102.42	$152.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.58 / $153.63 / $228.58	Professional	50	$130.58	$153.63	$228.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $140.50 / $175.63	Facility		$97.69	$140.50	$175.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $145.36 / $251.64	Professional		$110.40	$145.36	$251.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $184.66 / $184.66	Facility		$184.66	$184.66	$184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $214.61 / $352.79	Professional		$131.63	$214.61	$352.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.89 / $159.71	Professional		$32.34	$70.89	$159.71
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 $159.25 / $234.33 / $326.45	Professional		$159.25	$234.33	$326.45