Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $425.98 / $5,634.00	Facility		$103.70	$425.98	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $146.50 / $196.57	Professional		$103.70	$146.50	$196.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $237.21 / $237.21 / $237.21	Professional	50	$237.21	$237.21	$237.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $139.52 / $188.85	Professional		$96.46	$139.52	$188.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.69 / $209.28 / $283.27	Professional	50	$144.69	$209.28	$283.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.88 / $136.19 / $234.54	Facility		$100.88	$136.19	$234.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $197.68 / $284.66	Professional		$158.13	$197.68	$284.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $356.73 / $1,627.38	Facility		$183.02	$356.73	$1,627.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $150.88 / $284.33	Professional		$102.36	$150.88	$284.33
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $185.49 / $306.56	Professional		$139.31	$185.49	$306.56