Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.84 / $1,649.16 / $11,093.00	Facility		$154.84	$1,649.16	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $5,757.51 / $5,757.51	Facility	50	$0.85	$5,757.51	$5,757.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $1,386.00 / $2,070.38	Professional		$154.84	$1,386.00	$2,070.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,002.43 / $2,002.43 / $2,002.43	Professional	50	$2,002.43	$2,002.43	$2,002.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $15,205.00 / $25,750.00	Facility		$1,521.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $1,053.35 / $3,217.95	Professional		$128.34	$1,053.35	$3,217.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $192.51 / $1,580.05 / $4,826.93	Professional	50	$192.51	$1,580.05	$4,826.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.58 / $218.27 / $2,010.68	Facility		$151.58	$218.27	$2,010.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,474.71 / $1,825.84 / $2,528.09	Professional		$1,474.71	$1,825.84	$2,528.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,120.58 / $4,120.58 / $4,120.58	Facility		$4,120.58	$4,120.58	$4,120.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.37 / $777.42 / $3,319.09	Professional		$182.37	$777.42	$3,319.09
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 $1,687.15 / $2,498.35 / $3,834.13	Professional		$1,687.15	$2,498.35	$3,834.13