Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,380.38 / $4,897.79	Facility		$117.49	$1,380.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $169.82	Professional		$74.13	$100.00	$169.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $134.90 / $239.88	Professional	50	$109.65	$134.90	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $134.90	Professional		$69.18	$81.28	$134.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $123.03 / $204.17	Professional	50	$104.71	$123.03	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $128.82 / $446.68	Facility		$50.12	$128.82	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $169.82	Professional		$79.43	$112.20	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,137.96 / $5,495.41	Facility		$331.13	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $169.82	Professional		$74.13	$104.71	$169.82