Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.15 / $1,173.00 / $16,042.00	Facility		$460.15	$1,173.00	$16,042.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,173.00 / $7,661.94 / $7,948.68	Facility	50	$1,173.00	$7,661.94	$7,948.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.85 / $507.88 / $681.11	Professional		$458.85	$507.88	$681.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $758.77 / $895.16 / $1,747.98	Professional	50	$758.77	$895.16	$1,747.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.00 / $7,581.00 / $14,620.00	Facility		$3,278.00	$7,581.00	$14,620.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.89 / $827.38 / $1,062.07	Professional		$533.89	$827.38	$1,062.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $800.83 / $1,241.07 / $1,593.10	Professional	50	$800.83	$1,241.07	$1,593.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.19 / $669.63 / $1,050.41	Facility		$500.19	$669.63	$1,050.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $563.12 / $703.90 / $1,013.61	Professional		$563.12	$703.90	$1,013.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.86 / $694.40 / $992.00	Professional		$510.86	$694.40	$992.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.05 / $629.40 / $967.88	Professional		$472.05	$629.40	$967.88