Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.13 / $3,727.79 / $9,988.84	Facility		$183.13	$3,727.79	$9,988.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,895.98 / $6,822.82 / $15,812.74	Facility	50	$1,895.98	$6,822.82	$15,812.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $246.87 / $387.65	Professional		$163.88	$246.87	$387.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $466.28 / $704.18 / $704.18	Professional	50	$466.28	$704.18	$704.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.22 / $319.19 / $453.24	Professional		$249.22	$319.19	$453.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $373.83 / $478.78 / $679.87	Professional	50	$373.83	$478.78	$679.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $231.66 / $340.68	Facility		$160.88	$231.66	$340.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.54 / $301.52 / $417.50	Professional		$243.54	$301.52	$417.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility		$1,061.59	$1,061.59	$1,061.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.33 / $339.13 / $642.66	Professional		$209.33	$339.13	$642.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.64 / $344.93 / $526.40	Professional		$238.64	$344.93	$526.40