Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.00 / $2,027.09 / $5,707.20	Facility		$1,233.00	$2,027.09	$5,707.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,849.50 / $3,881.20 / $10,939.50	Facility	50	$1,849.50	$3,881.20	$10,939.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,967.95 / $16,967.95 / $20,361.54	Facility		$16,967.95	$16,967.95	$20,361.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,636.92 / $1,636.92 / $1,636.92	Facility		$1,636.92	$1,636.92	$1,636.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,875.75 / $5,875.75 / $5,875.75	Facility		$5,875.75	$5,875.75	$5,875.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $4,334.00 / $8,676.00	Facility		$2,000.00	$4,334.00	$8,676.00