Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $543.00 / $5,634.00	Facility		$51.55	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,351.12 / $2,351.12 / $2,351.12	Facility	50	$2,351.12	$2,351.12	$2,351.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $95.55 / $140.74	Professional		$51.55	$95.55	$140.74
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 $66.86 / $91.89 / $126.80	Professional		$66.86	$91.89	$126.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.29 / $137.83 / $190.21	Professional	50	$100.29	$137.83	$190.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $76.06 / $111.87	Facility		$50.71	$76.06	$111.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $123.66 / $178.08	Professional		$98.93	$123.66	$178.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.51 / $94.51 / $112.03	Facility		$94.51	$94.51	$112.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $129.86 / $213.84	Professional		$65.13	$129.86	$213.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $132.40 / $230.26	Professional		$97.86	$132.40	$230.26