Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.08 / $1,386.00 / $11,093.00	Facility		$414.08	$1,386.00	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,492.44 / $5,483.34 / $8,143.11	Facility	50	$2,492.44	$5,483.34	$8,143.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $523.51 / $523.51 / $1,380.68	Professional	50	$523.51	$523.51	$1,380.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $432.06 / $540.07 / $745.30	Professional	50	$432.06	$540.07	$745.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.53 / $562.62 / $843.93	Facility		$398.53	$562.62	$843.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.80 / $1,868.80 / $1,868.80	Facility		$1,868.80	$1,868.80	$1,868.80
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