Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.32 / $2,453.00 / $16,042.00	Facility		$317.32	$2,453.00	$16,042.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,276.99 / $8,428.68 / $14,199.26	Facility	50	$1,276.99	$8,428.68	$14,199.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.26 / $367.08 / $497.17	Professional		$309.26	$367.08	$497.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $426.78 / $802.37 / $1,586.61	Professional	50	$426.78	$802.37	$1,586.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,953.00 / $11,915.00 / $21,000.00	Facility		$3,953.00	$11,915.00	$21,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.40 / $641.10 / $884.71	Professional		$417.40	$641.10	$884.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $626.10 / $961.65 / $1,327.07	Professional	50	$626.10	$961.65	$1,327.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.20 / $436.52 / $654.78	Facility		$309.20	$436.52	$654.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.56 / $378.31 / $523.82	Professional		$305.56	$378.31	$523.82
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 $332.73 / $543.16 / $1,162.85	Professional		$332.73	$543.16	$1,162.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.26 / $443.37 / $673.29	Professional		$312.26	$443.37	$673.29