Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.12 / $400.00 / $3,740.00	Facility		$116.12	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $298.27 / $467.21	Professional		$129.31	$298.27	$467.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $117.83 / $148.51	Professional		$97.24	$117.83	$148.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $145.86 / $176.74 / $222.76	Professional	50	$145.86	$176.74	$222.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.60 / $189.45 / $236.81	Facility		$133.60	$189.45	$236.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.85 / $193.03 / $497.15	Professional		$148.85	$193.03	$497.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $248.99 / $248.99	Facility		$248.99	$248.99	$248.99
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $399.34 / $722.18	Professional		$167.82	$399.34	$722.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.70 / $368.84	Professional		$32.34	$91.70	$368.84
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.87 / $514.94 / $746.29	Professional		$375.87	$514.94	$746.29