Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,380.38 / $14,125.38	Facility		$758.58	$1,380.38	$14,125.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	50	$3,311.31	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,258.93	Professional		$501.19	$724.44	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	50	$870.96	$870.96	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,317.64 / $10,964.78	Facility		$3,981.07	$8,317.64	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $851.14	Professional		$446.68	$537.03	$851.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $794.33 / $1,288.25	Professional	50	$660.69	$794.33	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,380.38	Facility		$562.34	$794.33	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,202.26	Professional		$457.09	$707.95	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,623.41 / $10,715.19	Facility		$1,862.09	$5,623.41	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,148.15	Professional		$478.63	$707.95	$1,148.15