Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.52 / $71.08 / $4,846.00	Facility		$46.52	$71.08	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $69.09 / $128.57	Professional		$45.84	$69.09	$128.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $190.16 / $206.97 / $225.03	Professional	50	$190.16	$206.97	$225.03
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 $41.45 / $78.03 / $183.81	Professional		$41.45	$78.03	$183.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $62.18 / $117.04 / $275.72	Professional	50	$62.18	$117.04	$275.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $71.58 / $105.26	Facility		$49.70	$71.58	$105.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $92.61 / $128.24	Professional		$74.80	$92.61	$128.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $105.09 / $251.78	Professional		$59.59	$105.09	$251.78
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $125.28 / $177.89	Professional		$75.52	$125.28	$177.89