Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.06 / $551.19 / $5,320.00	Facility		$140.06	$551.19	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $252.65 / $349.44	Professional		$136.27	$252.65	$349.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $125.35 / $234.86	Professional		$103.44	$125.35	$234.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $155.16 / $188.02 / $352.29	Professional	50	$155.16	$188.02	$352.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.30 / $173.22 / $197.97	Facility		$123.30	$173.22	$197.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $179.41 / $344.12	Professional		$141.97	$179.41	$344.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $227.66 / $540.16	Facility		$147.63	$227.66	$540.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $257.05 / $640.77	Professional		$130.78	$257.05	$640.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $109.41	Professional		$32.34	$32.34	$109.41
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 $220.00 / $290.18 / $469.25	Professional		$220.00	$290.18	$469.25