Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.88 / $201.62 / $3,740.00	Facility		$112.88	$201.62	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $146.50 / $198.61	Professional		$95.81	$146.50	$198.61
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 $81.99 / $99.35 / $159.33	Professional		$81.99	$99.35	$159.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $122.98 / $149.02 / $243.28	Professional	50	$122.98	$149.02	$243.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.26 / $139.26 / $1,653.17	Facility		$139.26	$139.26	$1,653.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $215.52 / $346.37	Professional		$150.47	$215.52	$346.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.81 / $183.02 / $1,322.53	Facility		$100.81	$183.02	$1,322.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $163.65 / $517.62	Professional		$102.36	$163.65	$517.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $134.07 / $175.81 / $275.22	Professional		$134.07	$175.81	$275.22