Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $992.61 / $4,846.00	Facility		$56.68	$992.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $85.15 / $144.66	Professional		$53.58	$85.15	$144.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $139.16 / $221.40 / $235.04	Professional	50	$139.16	$221.40	$235.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $145.35 / $2,956.00	Facility		$75.31	$145.35	$2,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $71.04 / $103.92	Professional		$49.08	$71.04	$103.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.62 / $106.56 / $155.88	Professional	50	$73.62	$106.56	$155.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.70 / $83.55 / $121.10	Facility		$55.70	$83.55	$121.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $110.40 / $158.97	Professional		$88.32	$110.40	$158.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $100.72 / $154.99	Professional		$65.39	$100.72	$154.99
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 $82.08 / $108.08 / $186.68	Professional		$82.08	$108.08	$186.68