Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $90.17 / $4,846.00	Facility		$73.81	$90.17	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $94.08 / $121.73	Professional		$73.81	$94.08	$121.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $135.26 / $135.26 / $135.26	Professional	50	$135.26	$135.26	$135.26
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 $69.40 / $81.65 / $109.99	Professional		$69.40	$81.65	$109.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.10 / $122.47 / $164.99	Professional	50	$104.10	$122.47	$164.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $96.65 / $167.84	Facility		$72.19	$96.65	$167.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $103.44 / $155.16	Professional		$86.20	$103.44	$155.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $129.79 / $450.00	Facility		$50.00	$129.79	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $111.67 / $196.02	Professional		$74.00	$111.67	$196.02
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 $83.43 / $109.78 / $184.40	Professional		$83.43	$109.78	$184.40