Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.86 / $1,386.00 / $7,212.00	Facility		$145.86	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $229.41 / $321.70	Professional		$141.47	$229.41	$321.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $846.00 / $846.00 / $846.00	Professional	50	$846.00	$846.00	$846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $201.21 / $330.39	Professional		$120.44	$201.21	$330.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.66 / $301.82 / $495.59	Professional	50	$180.66	$301.82	$495.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.90 / $205.77 / $354.16	Facility		$142.90	$205.77	$354.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.29 / $333.41 / $461.64	Professional		$269.29	$333.41	$461.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.56 / $250.56 / $250.56	Facility		$250.56	$250.56	$250.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.25 / $286.97 / $446.09	Professional		$165.25	$286.97	$446.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.65 / $314.89 / $504.94	Professional		$251.65	$314.89	$504.94