Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $690.00 / $2,812.00	Facility		$78.75	$690.00	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $858.00 / $858.00 / $858.00	Facility	50	$858.00	$858.00	$858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $82.88 / $187.24	Professional		$51.13	$82.88	$187.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $189.72 / $189.72 / $361.50	Professional	50	$189.72	$189.72	$361.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.09 / $141.71	Facility		$118.09	$118.09	$141.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $83.11 / $204.50	Professional		$56.51	$83.11	$204.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $82.16 / $82.16	Facility		$82.16	$82.16	$82.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.33 / $178.18 / $319.64	Professional		$171.33	$178.18	$319.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $116.28 / $116.28	Facility		$116.28	$116.28	$116.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $108.12 / $251.18	Professional		$78.65	$108.12	$251.18
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $143.22 / $275.02	Professional		$97.58	$143.22	$275.02