Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $488.58 / $11,093.00	Facility		$120.62	$488.58	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $173.00 / $285.17	Professional		$114.79	$173.00	$285.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $525.05 / $571.73 / $579.00	Professional	50	$525.05	$571.73	$579.00
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 $105.66 / $167.81 / $386.25	Professional		$105.66	$167.81	$386.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $251.72 / $579.38	Professional	50	$158.49	$251.72	$579.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.04 / $163.40 / $254.19	Facility		$121.04	$163.40	$254.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $217.19 / $271.49	Professional		$180.99	$217.19	$271.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.23 / $184.23 / $184.23	Facility		$184.23	$184.23	$184.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $203.84 / $408.10	Professional		$124.26	$203.84	$408.10
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 $172.40 / $213.66 / $383.66	Professional		$172.40	$213.66	$383.66