Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.91 / $394.40 / $3,500.00	Facility		$54.91	$394.40	$3,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.78 / $812.78 / $812.78	Facility	50	$812.78	$812.78	$812.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $97.58 / $158.29	Professional		$45.76	$97.58	$158.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $54.53 / $163.58	Professional	50	$54.53	$54.53	$163.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,119.97 / $8,230.00	Facility		$740.96	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $68.59 / $96.94	Professional		$48.50	$68.59	$96.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.76 / $102.90 / $145.41	Professional	50	$72.76	$102.90	$145.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $61.76 / $96.08	Facility		$45.75	$61.76	$96.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $119.32 / $156.60	Professional		$99.43	$119.32	$156.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $104.48 / $123.85	Facility		$104.48	$104.48	$123.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $112.20 / $228.49	Professional		$58.08	$112.20	$228.49
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,291.00 / $4,426.00	Facility		$866.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $120.86 / $203.63	Professional		$91.36	$120.86	$203.63