Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,801.89 / $5,623.41	Facility		$181.97	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $398.11	Professional		$125.89	$173.78	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $891.25 / $1,479.11	Professional	50	$346.74	$891.25	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,265.80 / $8,317.64	Facility		$2,089.30	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $302.00	Professional		$147.91	$194.98	$302.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $288.40 / $446.68	Professional	50	$223.87	$288.40	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $426.58	Facility		$199.53	$323.59	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $309.03	Professional		$131.83	$204.17	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,137.96 / $5,495.41	Facility		$251.19	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $309.03	Professional		$125.89	$186.21	$309.03