Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $416.00 / $3,740.00	Facility		$134.81	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $183.38 / $275.68	Professional		$121.34	$183.38	$275.68
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 $104.77 / $126.96 / $203.72	Professional		$104.77	$126.96	$203.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.15 / $190.44 / $306.16	Professional	50	$157.15	$190.44	$306.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $166.43 / $190.21	Facility		$118.22	$166.43	$190.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $184.70 / $276.47	Professional		$136.41	$184.70	$276.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.88 / $218.74 / $380.27	Facility		$158.88	$218.74	$380.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $206.98 / $614.30	Professional		$126.81	$206.98	$614.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.34	Professional		$32.34	$32.34	$60.34
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 $176.70 / $235.49 / $404.00	Professional		$176.70	$235.49	$404.00