Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.52 / $1,203.59 / $3,109.00	Facility		$347.52	$1,203.59	$3,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $667.22 / $1,029.00 / $4,120.21	Facility	50	$667.22	$1,029.00	$4,120.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.13 / $347.53 / $448.04	Professional		$232.13	$347.53	$448.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.01 / $578.22 / $1,164.08	Professional	50	$194.01	$578.22	$1,164.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,893.49 / $2,893.49 / $3,472.19	Facility		$2,893.49	$2,893.49	$3,472.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $262.86 / $390.83	Professional		$178.74	$262.86	$390.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $254.73 / $254.73 / $254.73	Facility		$254.73	$254.73	$254.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.80 / $344.03 / $621.30	Professional		$330.80	$344.03	$621.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,519.08 / $2,519.08 / $2,519.08	Facility		$2,519.08	$2,519.08	$2,519.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.64 / $390.95 / $598.32	Professional		$262.64	$390.95	$598.32
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.63 / $380.40 / $555.57	Professional		$260.63	$380.40	$555.57