Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $92.26 / $2,747.00	Facility		$77.59	$92.26	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $96.95 / $130.27	Professional		$79.70	$96.95	$130.27
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 $69.40 / $87.06 / $103.74	Professional		$69.40	$87.06	$103.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.10 / $130.59 / $155.61	Professional	50	$104.10	$130.59	$155.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $98.76 / $933.67	Facility		$70.98	$98.76	$933.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $98.76 / $158.72	Professional		$77.43	$98.76	$158.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $129.79 / $129.79	Facility		$58.81	$129.79	$129.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $116.74 / $369.50	Professional		$76.90	$116.74	$369.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $32.34 / $36.96	Professional		$27.72	$32.34	$36.96
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 $87.35 / $115.98 / $197.95	Professional		$87.35	$115.98	$197.95