Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $207.26 / $5,320.00	Facility		$127.81	$207.26	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $183.88 / $300.24	Professional		$117.79	$183.88	$300.24
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 $101.91 / $155.49 / $262.16	Professional		$101.91	$155.49	$262.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $152.86 / $233.23 / $393.24	Professional	50	$152.86	$233.23	$393.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.63 / $172.44 / $198.91	Facility		$125.63	$172.44	$198.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $184.18 / $369.96	Professional		$146.57	$184.18	$369.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $226.63 / $226.63	Facility		$160.91	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $218.75 / $410.58	Professional		$134.77	$218.75	$410.58
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.68 / $255.01 / $401.98	Professional		$178.68	$255.01	$401.98