Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.15 / $3,555.93 / $11,494.78	Facility		$166.15	$3,555.93	$11,494.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,385.76 / $5,655.56 / $8,421.37	Facility	50	$2,385.76	$5,655.56	$8,421.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $145.75 / $259.06	Professional		$137.74	$145.75	$259.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.54 / $447.00 / $584.25	Professional	50	$173.54	$447.00	$584.25
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 $154.96 / $193.70 / $267.30	Professional		$154.96	$193.70	$267.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $232.44 / $290.55 / $400.95	Professional	50	$232.44	$290.55	$400.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.62 / $196.59 / $305.81	Facility		$145.62	$196.59	$305.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $174.74 / $218.43	Professional		$145.62	$174.74	$218.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $881.00 / $881.00	Facility		$881.00	$881.00	$881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.46 / $213.17 / $362.00	Professional		$162.46	$213.17	$362.00
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 $148.72 / $178.48 / $307.13	Professional		$148.72	$178.48	$307.13