Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,897.79 / $11,220.18	Facility		$1,122.02	$4,897.79	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,041.74	Professional		$831.76	$1,122.02	$2,041.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional	50	$2,951.21	$2,951.21	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $13,803.84 / $19,054.61	Facility		$3,715.35	$13,803.84	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,698.24	Professional		$812.83	$1,023.29	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,548.82 / $2,570.40	Professional	50	$1,230.27	$1,548.82	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,905.46	Facility		$707.95	$1,148.15	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,737.80	Professional		$707.95	$1,047.13	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,413.10 / $10,964.78	Facility		$2,691.53	$7,413.10	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,737.80	Professional		$794.33	$1,047.13	$1,737.80