Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.99 / $1,386.00 / $11,093.00	Facility		$282.99	$1,386.00	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,966.24 / $2,966.24 / $2,966.24	Facility	50	$2,966.24	$2,966.24	$2,966.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.99 / $631.37 / $1,206.66	Professional		$282.99	$631.37	$1,206.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $430.92 / $2,384.33 / $4,653.00	Professional	50	$430.92	$2,384.33	$4,653.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,065.00 / $7,188.00 / $43,493.00	Facility		$3,065.00	$7,188.00	$43,493.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.55 / $328.89 / $475.79	Professional		$279.55	$328.89	$475.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $419.33 / $493.33 / $713.69	Professional	50	$419.33	$493.33	$713.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.10 / $420.20 / $617.94	Facility		$302.10	$420.20	$617.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $642.07 / $802.59 / $1,155.72	Professional		$642.07	$802.59	$1,155.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,992.65 / $6,992.65 / $8,289.09	Facility		$6,992.65	$6,992.65	$8,289.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.42 / $733.23 / $1,513.56	Professional		$352.42	$733.23	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,330.00 / $17,649.00	Facility		$5,431.00	$12,330.00	$17,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.12 / $957.95 / $1,686.95	Professional		$652.12	$957.95	$1,686.95