Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.16 / $185.44 / $3,740.00	Facility		$92.16	$185.44	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $118.63 / $168.40	Professional		$89.01	$118.63	$168.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $104.48 / $185.70	Professional		$86.22	$104.48	$185.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $129.33 / $156.72 / $278.55	Professional	50	$129.33	$156.72	$278.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.47 / $113.97 / $130.26	Facility		$80.47	$113.97	$130.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $114.79 / $183.17	Professional		$81.41	$114.79	$183.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $149.79 / $1,322.53	Facility		$129.79	$149.79	$1,322.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $152.66 / $413.17	Professional		$91.28	$152.66	$413.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.61	Professional		$32.34	$32.34	$104.61
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $155.24 / $233.04	Professional		$106.44	$155.24	$233.04