Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $20.74 / $4,846.00	Facility		$18.27	$20.74	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $22.69 / $48.96	Professional		$18.27	$22.69	$48.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.36 / $44.36 / $44.36	Professional	50	$44.36	$44.36	$44.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $57.17 / $90.62	Professional		$29.13	$57.17	$90.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.69 / $85.76 / $135.93	Professional	50	$43.69	$85.76	$135.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $26.27 / $40.92	Facility		$20.21	$26.27	$40.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $21.54 / $31.02	Professional		$17.23	$21.54	$31.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $50.00	Facility		$21.22	$21.22	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $50.52 / $115.86	Professional		$21.97	$50.52	$115.86
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $39.79 / $71.66	Professional		$24.36	$39.79	$71.66