Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.01 / $4,783.03 / $13,255.00	Facility		$707.01	$4,783.03	$13,255.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,830.70 / $5,347.13 / $5,575.36	Facility	50	$4,830.70	$5,347.13	$5,575.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $378.47 / $608.14	Professional		$327.44	$378.47	$608.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,144.00 / $7,833.00 / $14,645.00	Facility		$4,144.00	$7,833.00	$14,645.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.15 / $517.79 / $714.56	Professional		$388.15	$517.79	$714.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $430.49 / $669.65	Facility		$318.88	$430.49	$669.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.88 / $382.66 / $478.32	Professional		$318.88	$382.66	$478.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $2,218.40 / $2,218.40	Facility		$2,218.40	$2,218.40	$2,218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.79 / $477.63 / $834.94	Professional		$341.79	$477.63	$834.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.98 / $426.57 / $683.49	Professional		$343.98	$426.57	$683.49