Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.79 / $243.61 / $5,634.00	Facility		$94.79	$243.61	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $115.18 / $164.73	Professional		$82.67	$115.18	$164.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $313.11 / $313.11 / $313.11	Professional	50	$313.11	$313.11	$313.11
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 $64.26 / $88.20 / $124.58	Professional		$64.26	$88.20	$124.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $96.39 / $132.30 / $186.87	Professional	50	$96.39	$132.30	$186.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $143.28 / $196.67	Facility		$95.52	$143.28	$196.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $161.05 / $231.92	Professional		$128.84	$161.05	$231.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $114.44 / $135.65	Facility		$114.44	$114.44	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $134.82 / $215.40	Professional		$91.64	$134.82	$215.40
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 $93.83 / $122.86 / $209.09	Professional		$93.83	$122.86	$209.09