Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.08 / $1,386.00 / $14,063.00	Facility		$557.08	$1,386.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.08 / $688.14 / $914.93	Professional		$557.08	$688.14	$914.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $766.89 / $785.54 / $2,356.63	Professional	50	$766.89	$785.54	$2,356.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $8,512.00 / $16,615.00	Facility		$3,536.00	$8,512.00	$16,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.72 / $1,147.49 / $1,549.11	Professional		$651.72	$1,147.49	$1,549.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $977.58 / $1,721.23 / $2,323.66	Professional	50	$977.58	$1,721.23	$2,323.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $648.49 / $933.83 / $1,373.27	Facility		$648.49	$933.83	$1,373.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $764.91 / $937.39 / $1,349.84	Professional		$764.91	$937.39	$1,349.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,061.25 / $2,061.25 / $2,061.25	Facility		$2,061.25	$2,061.25	$2,061.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.47 / $964.03 / $1,721.39	Professional		$689.47	$964.03	$1,721.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.61 / $964.17 / $1,628.65	Professional		$781.61	$964.17	$1,628.65