Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.09 / $2,085.19 / $11,093.00	Facility		$176.09	$2,085.19	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $312.39 / $1,687.60 / $2,826.88	Facility	50	$312.39	$1,687.60	$2,826.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $1,386.00 / $3,831.30	Professional		$176.09	$1,386.00	$3,831.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $621.00 / $621.00 / $900.00	Professional	50	$621.00	$621.00	$900.00
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 $145.96 / $1,178.04 / $6,862.48	Professional		$145.96	$1,178.04	$6,862.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $218.94 / $1,767.06 / $10,293.71	Professional	50	$218.94	$1,767.06	$10,293.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.77 / $248.66 / $2,041.66	Facility		$178.77	$248.66	$2,041.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,499.33 / $1,856.31 / $2,570.28	Professional		$1,499.33	$1,856.31	$2,570.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,919.10 / $1,919.10 / $1,919.10	Facility		$1,919.10	$1,919.10	$1,919.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $884.29 / $5,205.50	Professional		$207.31	$884.29	$5,205.50
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 $1,784.81 / $2,734.92 / $5,153.89	Professional		$1,784.81	$2,734.92	$5,153.89