Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.62 / $281.02 / $5,634.00	Facility		$108.62	$281.02	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,926.85 / $1,926.85 / $1,926.85	Facility	50	$1,926.85	$1,926.85	$1,926.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $155.40 / $207.00	Professional		$97.87	$155.40	$207.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $69.23 / $100.97	Professional		$58.85	$69.23	$100.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $88.28 / $103.86 / $151.44	Professional	50	$88.28	$103.86	$151.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $154.49 / $229.50	Facility		$110.81	$154.49	$229.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $216.18 / $299.33	Professional		$174.60	$216.18	$299.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $166.36 / $166.36	Facility		$166.36	$166.36	$166.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $169.45 / $369.54	Professional		$99.71	$169.45	$369.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $207.65 / $365.38	Professional		$154.86	$207.65	$365.38