Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $2,318.00 / $11,093.00	Facility		$138.77	$2,318.00	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,795.85 / $2,795.85 / $2,795.85	Facility	50	$2,795.85	$2,795.85	$2,795.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $138.77 / $177.79	Professional		$125.95	$138.77	$177.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $165.60 / $235.15	Professional		$132.47	$165.60	$235.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.46 / $206.78 / $310.17	Facility		$146.46	$206.78	$310.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $172.31 / $248.13	Professional		$144.74	$172.31	$248.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.80 / $1,868.80 / $1,868.80	Facility		$1,868.80	$1,868.80	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $193.64 / $327.38	Professional		$153.96	$193.64	$327.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $167.57 / $288.36	Professional		$137.12	$167.57	$288.36