Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.46 / $457.03 / $5,320.00	Facility		$186.46	$457.03	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $255.31 / $372.99	Professional		$170.46	$255.31	$372.99
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 $134.21 / $162.63 / $287.60	Professional		$134.21	$162.63	$287.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $201.32 / $243.96 / $431.41	Professional	50	$201.32	$243.96	$431.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $229.77 / $262.58	Facility		$163.72	$229.77	$262.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $231.66 / $424.51	Professional		$164.12	$231.66	$424.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.98 / $301.98 / $1,117.44	Facility		$301.98	$301.98	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $299.98 / $848.13	Professional		$168.91	$299.98	$848.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.22	Professional		$32.34	$32.34	$122.22
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.11 / $341.61 / $566.97	Professional		$264.11	$341.61	$566.97