Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,380.38 / $4,897.79	Facility		$173.78	$1,380.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $234.42	Professional		$112.20	$138.04	$234.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	50	$912.01	$912.01	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $194.98	Professional		$100.00	$117.49	$194.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $173.78 / $295.12	Professional	50	$147.91	$173.78	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $147.91 / $239.88	Facility		$114.82	$147.91	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $239.88	Professional		$95.50	$138.04	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,137.96 / $5,495.41	Facility		$251.19	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $223.87	Professional		$107.15	$134.90	$223.87