Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $54.16 / $2,747.00	Facility		$34.86	$54.16	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $38.95 / $54.49	Professional		$30.03	$38.95	$54.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $31.49 / $47.42	Professional		$26.46	$31.49	$47.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.69 / $46.85 / $71.13	Professional	50	$39.69	$46.85	$71.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $43.30 / $622.44	Facility		$30.76	$43.30	$622.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $43.30 / $69.59	Professional		$30.93	$43.30	$69.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $56.91 / $56.91	Facility		$47.00	$56.91	$56.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $46.97 / $159.01	Professional		$30.69	$46.97	$159.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $32.34 / $32.34	Professional		$16.55	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $399.00 / $3,176.00	Facility		$50.00	$399.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $44.48 / $83.27	Professional		$34.60	$44.48	$83.27