Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $387.40 / $5,634.00	Facility		$119.26	$387.40	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $158.76 / $216.17	Professional		$119.26	$158.76	$216.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $344.63 / $451.95 / $891.75	Professional	50	$344.63	$451.95	$891.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $193.13 / $260.18	Professional		$145.63	$193.13	$260.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $218.44 / $289.69 / $390.27	Professional	50	$218.44	$289.69	$390.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $155.66 / $270.33	Facility		$116.27	$155.66	$270.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $173.52 / $260.27	Professional		$144.60	$173.52	$260.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.07 / $214.57 / $422.00	Facility		$198.07	$214.57	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $204.26 / $325.06	Professional		$129.10	$204.26	$325.06
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 $149.68 / $208.26 / $331.06	Professional		$149.68	$208.26	$331.06