Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $927.36 / $5,634.00	Facility		$111.21	$927.36	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $193.09 / $312.51	Professional		$110.48	$193.09	$312.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.99 / $164.99 / $172.20	Professional	50	$164.99	$164.99	$172.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,097.10 / $8,230.00	Facility		$856.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $214.23 / $340.25	Professional		$101.80	$214.23	$340.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $152.69 / $321.35 / $510.38	Professional	50	$152.69	$321.35	$510.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.19 / $168.29 / $247.49	Facility		$112.19	$168.29	$247.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.21 / $280.26 / $403.58	Professional		$224.21	$280.26	$403.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.02 / $228.02 / $270.29	Facility		$228.02	$228.02	$270.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $254.13 / $452.38	Professional		$129.40	$254.13	$452.38
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 $159.11 / $265.77 / $452.23	Professional		$159.11	$265.77	$452.23