Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $1,386.00 / $5,634.00	Facility		$92.87	$1,386.00	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $857.08 / $857.08 / $857.08	Facility	50	$857.08	$857.08	$857.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $100.68 / $131.63	Professional		$89.36	$100.68	$131.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.30 / $53.30 / $460.50	Professional	50	$53.30	$53.30	$460.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $172.92 / $224.01	Professional		$70.98	$172.92	$224.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.48 / $259.39 / $336.01	Professional	50	$106.48	$259.39	$336.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $121.40 / $187.55	Facility		$90.68	$121.40	$187.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $118.20 / $170.21	Professional		$94.56	$118.20	$170.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $163.47 / $422.00	Facility		$82.43	$163.47	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $120.73 / $264.92	Professional		$72.00	$120.73	$264.92
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $115.92 / $196.60	Professional		$88.59	$115.92	$196.60