Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $122.81 / $5,634.00	Facility		$42.00	$122.81	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $70.81 / $102.47	Professional		$39.84	$70.81	$102.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $364.85 / $364.85 / $364.85	Professional	50	$364.85	$364.85	$364.85
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 $66.20 / $111.11 / $154.47	Professional		$66.20	$111.11	$154.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $99.31 / $166.67 / $231.72	Professional	50	$99.31	$166.67	$231.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $62.37 / $91.71	Facility		$41.58	$62.37	$91.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $90.84 / $130.80	Professional		$72.67	$90.84	$130.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $67.62 / $80.16	Facility		$67.62	$67.62	$80.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $109.51 / $197.83	Professional		$53.32	$109.51	$197.83
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 $61.86 / $111.63 / $184.59	Professional		$61.86	$111.63	$184.59