Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.98 / $964.65 / $5,634.00	Facility		$195.98	$964.65	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $267.56 / $964.96	Professional		$163.36	$267.56	$964.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.28 / $551.50 / $551.50	Professional	50	$124.28	$551.50	$551.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $264.00 / $509.52	Facility		$264.00	$264.00	$509.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $422.40 / $996.15	Professional		$211.20	$422.40	$996.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $316.80 / $633.60 / $1,494.23	Professional	50	$316.80	$633.60	$1,494.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $235.11 / $357.29	Facility		$169.04	$235.11	$357.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $747.87 / $925.94 / $1,282.07	Professional		$747.87	$925.94	$1,282.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.22 / $495.60 / $1,300.49	Professional		$178.22	$495.60	$1,300.49
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.38 / $1,018.54 / $1,577.21	Professional		$793.38	$1,018.54	$1,577.21