Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $4,764.43 / $11,093.00	Facility		$293.77	$4,764.43	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,385.07 / $3,802.51 / $4,532.45	Facility	50	$1,385.07	$3,802.51	$4,532.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $291.39 / $408.50	Professional		$245.77	$291.39	$408.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $278.93 / $329.14 / $653.30	Professional	50	$278.93	$329.14	$653.30
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 $330.11 / $483.10 / $666.67	Professional		$330.11	$483.10	$666.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $495.16 / $724.65 / $1,000.01	Professional	50	$495.16	$724.65	$1,000.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.84 / $322.43 / $501.57	Facility		$238.84	$322.43	$501.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $286.61 / $358.26	Professional		$238.84	$286.61	$358.26
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 $272.73 / $445.49 / $851.52	Professional		$272.73	$445.49	$851.52
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 $254.03 / $357.03 / $530.98	Professional		$254.03	$357.03	$530.98