Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $123.49 / $5,634.00	Facility		$48.05	$123.49	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $446.96 / $953.94 / $1,173.80	Facility	50	$446.96	$953.94	$1,173.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $71.34 / $145.16	Professional		$48.05	$71.34	$145.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.06 / $153.65 / $153.65	Professional	50	$53.06	$153.65	$153.65
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 $42.38 / $49.86 / $74.79	Professional		$42.38	$49.86	$74.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.57 / $74.79 / $112.18	Professional	50	$63.57	$74.79	$112.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $63.02 / $94.53	Facility		$46.68	$63.02	$94.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $83.70 / $105.47	Professional		$66.95	$83.70	$105.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.11 / $48.11 / $57.03	Facility		$48.11	$48.11	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $100.92 / $183.54	Professional		$61.61	$100.92	$183.54
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 $63.50 / $99.07 / $174.40	Professional		$63.50	$99.07	$174.40