Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,801.89 / $5,623.41	Facility		$165.96	$3,801.89	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	50	$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $295.12	Professional		$107.15	$173.78	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	50	$72.44	$72.44	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $131.83	Professional		$69.18	$83.18	$131.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $120.23 / $194.98	Professional	50	$104.71	$120.23	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $125.89	Facility		$107.15	$109.65	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $371.54	Facility		$107.15	$181.97	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $398.11	Professional		$109.65	$169.82	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,137.96 / $5,754.40	Facility		$194.98	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $269.15	Professional		$100.00	$165.96	$269.15