Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.36 / $4,846.00 / $16,042.00	Facility		$931.36	$4,846.00	$16,042.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,078.36 / $17,078.36 / $17,078.36	Facility	50	$17,078.36	$17,078.36	$17,078.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.81 / $983.32 / $1,325.57	Professional		$774.81	$983.32	$1,325.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.00 / $7,581.00 / $14,620.00	Facility		$3,278.00	$7,581.00	$14,620.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.77 / $1,040.20 / $1,401.35	Professional		$744.77	$1,040.20	$1,401.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $880.49 / $1,178.76 / $1,782.99	Facility		$880.49	$1,178.76	$1,782.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $880.49 / $1,100.60 / $1,584.89	Professional		$880.49	$1,100.60	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $908.00 / $1,375.01	Facility		$630.00	$908.00	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.80 / $1,057.32 / $1,641.58	Professional		$716.80	$1,057.32	$1,641.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.18 / $970.57 / $1,630.18	Professional		$745.18	$970.57	$1,630.18