Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.72 / $198.81 / $11,093.00	Facility		$109.72	$198.81	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,385.88 / $13,385.88 / $13,385.88	Facility	50	$13,385.88	$13,385.88	$13,385.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $166.65 / $269.69	Professional		$104.17	$166.65	$269.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $547.50 / $547.50 / $547.50	Professional	50	$547.50	$547.50	$547.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.11 / $154.15 / $269.31	Professional		$96.11	$154.15	$269.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.16 / $231.22 / $392.46	Professional	50	$144.16	$231.22	$392.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.99 / $168.47 / $247.76	Facility		$116.99	$168.47	$247.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $222.24 / $307.70	Professional		$179.50	$222.24	$307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $166.36 / $166.36	Facility		$166.36	$166.36	$166.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $185.94 / $385.76	Professional		$114.92	$185.94	$385.76
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $205.05 / $362.45	Professional		$162.88	$205.05	$362.45