Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.66 / $475.07 / $5,634.00	Facility		$85.66	$475.07	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $162.40 / $304.77	Professional		$85.66	$162.40	$304.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $344.10 / $344.10 / $344.10	Professional	50	$344.10	$344.10	$344.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $132.40 / $222.84	Professional		$61.63	$132.40	$222.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.45 / $198.60 / $334.26	Professional	50	$92.45	$198.60	$334.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.19 / $89.36 / $148.94	Facility		$66.19	$89.36	$148.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $211.85 / $264.81	Professional		$176.54	$211.85	$264.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $179.46 / $179.46	Facility		$179.46	$179.46	$179.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $194.64 / $381.93	Professional		$98.82	$194.64	$381.93
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 $166.55 / $211.69 / $350.89	Professional		$166.55	$211.69	$350.89