Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,380.38 / $5,623.41	Facility		$91.20	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $251.19	Professional		$51.29	$91.20	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $181.97 / $457.09	Professional	50	$83.18	$181.97	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,265.80 / $8,317.64	Facility		$1,479.11	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $158.49	Professional		$63.10	$87.10	$158.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $131.83 / $239.88	Professional	50	$95.50	$131.83	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.95 / $61.66	Facility		$50.12	$54.95	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $154.88 / $338.84	Facility		$89.13	$154.88	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $208.93	Professional		$60.26	$109.65	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $4,466.84	Facility		$741.31	$2,818.38	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $181.97	Professional		$56.23	$97.72	$181.97