Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,122.02 / $11,220.18	Facility		$165.96	$1,122.02	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	50	$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $316.23	Professional		$131.83	$151.36	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,317.64 / $10,471.29	Facility		$3,715.35	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $263.03	Professional		$128.82	$165.96	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $151.36 / $173.78	Facility		$147.91	$151.36	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $302.00	Facility		$147.91	$245.47	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $363.08	Professional		$147.91	$190.55	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $6,456.54	Facility		$2,570.40	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $263.03	Professional		$128.82	$165.96	$263.03