Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.10 / $2,106.44 / $7,212.00	Facility		$452.10	$2,106.44	$7,212.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,522.69 / $1,522.69 / $6,387.10	Facility	50	$1,522.69	$1,522.69	$6,387.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.16 / $608.25 / $944.69	Professional		$419.16	$608.25	$944.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.74 / $566.57 / $879.85	Professional		$400.74	$566.57	$879.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.59 / $689.16 / $1,013.48	Facility		$478.59	$689.16	$1,013.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $699.35 / $865.87 / $1,198.89	Professional		$699.35	$865.87	$1,198.89
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 $449.11 / $738.34 / $1,405.39	Professional		$449.11	$738.34	$1,405.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,253.00 / $6,434.00 / $10,413.00	Facility		$3,253.00	$6,434.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.78 / $789.84 / $1,370.38	Professional		$615.78	$789.84	$1,370.38