Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.41 / $99.48 / $3,740.00	Facility		$70.41	$99.48	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $77.12 / $98.34	Professional		$64.26	$77.12	$98.34
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 $48.69 / $58.30 / $90.90	Professional		$48.69	$58.30	$90.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.04 / $87.45 / $136.35	Professional	50	$73.04	$87.45	$136.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $87.43 / $21,523.34	Facility		$62.41	$87.43	$21,523.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $87.43 / $140.51	Professional		$68.34	$87.43	$140.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $86.31 / $114.91	Facility		$51.79	$86.31	$114.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $88.66 / $322.75	Professional		$60.65	$88.66	$322.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $32.34 / $38.29	Professional		$28.71	$32.34	$38.29
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $87.29 / $158.94	Professional		$67.27	$87.29	$158.94