Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.93 / $1,030.00 / $14,063.00	Facility		$399.93	$1,030.00	$14,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,023.68 / $8,023.68 / $8,023.68	Facility	50	$8,023.68	$8,023.68	$8,023.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.93 / $539.91 / $678.19	Professional		$399.93	$539.91	$678.19
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 $383.46 / $519.11 / $699.34	Professional		$383.46	$519.11	$699.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.97 / $522.08 / $906.68	Facility		$389.97	$522.08	$906.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $543.57 / $679.46 / $978.42	Professional		$543.57	$679.46	$978.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $711.36 / $1,375.01	Facility		$560.00	$711.36	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.25 / $591.15 / $990.93	Professional		$413.25	$591.15	$990.93
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 $482.57 / $651.16 / $1,071.39	Professional		$482.57	$651.16	$1,071.39