Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.76 / $416.00 / $3,740.00	Facility		$152.76	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $156.49 / $221.58	Professional		$130.38	$156.49	$221.58
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 $105.03 / $127.28 / $197.54	Professional		$105.03	$127.28	$197.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.54 / $190.92 / $296.31	Professional	50	$157.54	$190.92	$296.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.02 / $183.31 / $215.66	Facility		$118.02	$183.31	$215.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $188.71 / $283.77	Professional		$131.76	$188.71	$283.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $248.01 / $366.41	Facility		$94.42	$248.01	$366.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $178.64 / $698.47	Professional		$123.76	$178.64	$698.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $63.42	Professional		$32.34	$32.34	$63.42
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 $126.57 / $165.79 / $269.08	Professional		$126.57	$165.79	$269.08