Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $382.48 / $5,320.00	Facility		$112.47	$382.48	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $117.68 / $181.10	Professional		$97.26	$117.68	$181.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $8,584.00 / $11,253.00	Facility		$69.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $94.61 / $146.44	Professional		$79.93	$94.61	$146.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.89 / $141.06 / $219.68	Professional	50	$119.89	$141.06	$219.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $138.33 / $158.10	Facility		$92.48	$138.33	$158.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $138.33 / $216.92	Professional		$108.69	$138.33	$216.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $181.81 / $331.87	Facility		$73.98	$181.81	$331.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $135.13 / $511.40	Professional		$91.41	$135.13	$511.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $46.30	Professional		$32.34	$32.34	$46.30
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 $95.83 / $128.75 / $221.72	Professional		$95.83	$128.75	$221.72