Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.92 / $1,030.00 / $14,063.00	Facility		$402.92	$1,030.00	$14,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,746.00 / $6,746.00 / $6,746.00	Facility	50	$6,746.00	$6,746.00	$6,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.92 / $507.57 / $682.38	Professional		$402.92	$507.57	$682.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $78.04 / $780.44	Professional	50	$78.04	$78.04	$780.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $6,653.00 / $11,752.00	Facility		$2,807.00	$6,653.00	$11,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.33 / $515.82 / $694.91	Professional		$387.33	$515.82	$694.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $580.99 / $773.73 / $1,042.35	Professional	50	$580.99	$773.73	$1,042.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.97 / $523.41 / $909.00	Facility		$390.97	$523.41	$909.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.10 / $607.63 / $874.98	Professional		$486.10	$607.63	$874.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $710.96 / $1,375.01	Facility		$560.00	$710.96	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.73 / $549.38 / $904.93	Professional		$403.73	$549.38	$904.93
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 $421.54 / $554.01 / $1,014.64	Professional		$421.54	$554.01	$1,014.64