Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.17 / $3,103.67 / $14,063.00	Facility		$251.17	$3,103.67	$14,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $662.95 / $48,489.10	Facility	50	$0.85	$662.95	$48,489.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $590.65 / $4,014.94	Professional		$230.93	$590.65	$4,014.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $8,642.45 / $8,642.45 / $8,642.45	Professional	50	$8,642.45	$8,642.45	$8,642.45
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 $222.62 / $1,977.45 / $4,791.01	Professional		$222.62	$1,977.45	$4,791.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $333.93 / $2,966.18 / $7,186.52	Professional	50	$333.93	$2,966.18	$7,186.52
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $31.16 / $276.83 / $670.74	Professional	AS	$31.16	$276.83	$670.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.55 / $352.14 / $3,780.09	Facility		$244.55	$352.14	$3,780.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,689.34 / $3,427.59 / $4,745.89	Professional		$2,689.34	$3,427.59	$4,745.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,167.42 / $4,167.42 / $4,167.42	Facility		$4,167.42	$4,167.42	$4,167.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $2,414.61 / $5,796.47	Professional		$282.27	$2,414.61	$5,796.47
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 $3,357.15 / $4,478.32 / $6,982.87	Professional		$3,357.15	$4,478.32	$6,982.87