Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $454.26 / $5,634.00	Facility		$76.29	$454.26	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,804.10 / $1,804.10 / $1,804.10	Facility	50	$1,804.10	$1,804.10	$1,804.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $192.83 / $334.56	Professional		$73.44	$192.83	$334.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.82 / $246.69 / $38,639.00	Facility		$127.82	$246.69	$38,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $127.82 / $198.12	Professional		$77.16	$127.82	$198.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.03 / $102.82 / $165.24	Facility		$78.03	$102.82	$165.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $335.99 / $483.83	Professional		$268.79	$335.99	$483.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $237.15 / $550.29	Professional		$86.73	$237.15	$550.29
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $307.49 / $600.91	Professional		$236.41	$307.49	$600.91