Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.09 / $416.00 / $3,740.00	Facility		$120.09	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $218.41 / $342.04	Professional		$100.90	$218.41	$342.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $8,584.00 / $11,253.00	Facility		$151.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $94.06 / $197.93	Professional		$79.89	$94.06	$197.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.83 / $141.09 / $307.05	Professional	50	$119.83	$141.09	$307.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $144.02 / $164.59	Facility		$103.26	$144.02	$164.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $164.59 / $344.64	Professional		$118.04	$164.59	$344.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $189.28 / $396.06	Facility		$174.38	$189.28	$396.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $247.03 / $534.78	Professional		$108.23	$247.03	$534.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $45.26	Professional		$32.34	$32.34	$45.26
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 $205.95 / $262.32 / $419.34	Professional		$205.95	$262.32	$419.34