Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.12 / $1,122.97 / $14,063.00	Facility		$502.12	$1,122.97	$14,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,320.78 / $3,320.78 / $3,320.78	Facility	50	$3,320.78	$3,320.78	$3,320.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.12 / $649.26 / $824.57	Professional		$502.12	$649.26	$824.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $870.50 / $870.50 / $870.50	Professional	50	$870.50	$870.50	$870.50
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 $428.48 / $535.60 / $721.56	Professional		$428.48	$535.60	$721.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $642.72 / $803.40 / $1,082.33	Professional	50	$642.72	$803.40	$1,082.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.82 / $654.41 / $1,136.51	Facility		$488.82	$654.41	$1,136.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $664.48 / $830.60 / $1,196.07	Professional		$664.48	$830.60	$1,196.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $798.00 / $1,375.01	Facility		$560.00	$798.00	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $676.39 / $1,199.13	Professional		$447.45	$676.39	$1,199.13
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 $593.41 / $791.23 / $1,464.10	Professional		$593.41	$791.23	$1,464.10