Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $535.00 / $5,320.00	Facility		$241.74	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.73 / $327.64 / $421.56	Professional		$212.73	$327.64	$421.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $224.64 / $363.16	Professional		$185.38	$224.64	$363.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $278.07 / $336.96 / $542.91	Professional	50	$278.07	$336.96	$542.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.98 / $323.86 / $373.60	Facility		$237.98	$323.86	$373.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.27 / $348.41 / $699.86	Professional		$275.27	$348.41	$699.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.87 / $425.65 / $425.65	Facility		$232.87	$425.65	$425.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $390.16 / $734.87	Professional		$244.91	$390.16	$734.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $321.89 / $421.18 / $731.15	Professional		$321.89	$421.18	$731.15