Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.85 / $3,823.52 / $7,495.14	Facility		$155.85	$3,823.52	$7,495.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $3,536.50 / $3,536.50	Facility	50	$0.85	$3,536.50	$3,536.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.74 / $155.85 / $248.71	Professional		$142.74	$155.85	$248.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $448.50 / $480.00 / $480.00	Professional	50	$448.50	$480.00	$480.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $238.70 / $329.40	Professional		$164.97	$238.70	$329.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $247.45 / $358.05 / $494.10	Professional	50	$247.45	$358.05	$494.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $215.90 / $323.85	Facility		$152.93	$215.90	$323.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $179.91 / $259.08	Professional		$146.81	$179.91	$259.08
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 $162.56 / $222.52 / $450.00	Professional		$162.56	$222.52	$450.00
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
United Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $186.94 / $293.32	Professional		$150.76	$186.94	$293.32