Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $450.88 / $8,229.00	Facility		$184.66	$450.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $363.36 / $492.23	Professional		$173.36	$363.36	$492.23
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 $128.74 / $156.00 / $251.94	Professional		$128.74	$156.00	$251.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $193.11 / $234.00 / $377.91	Professional	50	$193.11	$234.00	$377.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.86 / $253.74 / $299.44	Facility		$184.86	$253.74	$299.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $262.80 / $631.23	Professional		$208.43	$262.80	$631.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.48 / $333.48 / $333.48	Facility		$333.48	$333.48	$333.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.47 / $549.57 / $919.85	Professional		$222.47	$549.57	$919.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $450.88	Professional		$32.34	$32.34	$450.88
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 $507.73 / $646.30 / $916.74	Professional		$507.73	$646.30	$916.74