Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.14 / $2,492.44 / $6,532.96	Facility		$272.14	$2,492.44	$6,532.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $2,339.92 / $6,512.54	Facility	50	$0.85	$2,339.92	$6,512.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.73 / $311.19 / $631.48	Professional		$238.73	$311.19	$631.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.16 / $856.50 / $1,288.73	Professional	50	$134.16	$856.50	$1,288.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,321.00 / $7,890.00 / $21,000.00	Facility		$3,321.00	$7,890.00	$21,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.51 / $427.70 / $590.22	Professional		$283.51	$427.70	$590.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $425.26 / $641.54 / $885.33	Professional	50	$425.26	$641.54	$885.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $335.49 / $538.07	Facility		$232.98	$335.49	$538.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.10 / $511.46 / $708.18	Professional		$413.10	$511.46	$708.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,251.04 / $3,251.04 / $3,251.04	Facility		$3,251.04	$3,251.04	$3,251.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $450.00 / $904.90	Professional		$261.89	$450.00	$904.90
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 $265.97 / $398.67 / $735.23	Professional		$265.97	$398.67	$735.23