Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.98 / $1,074.00 / $3,109.00	Facility		$96.98	$1,074.00	$3,109.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.98 / $56.57 / $130.13	Facility	52	$41.98	$56.57	$130.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $178.24 / $303.52	Professional		$71.14	$178.24	$303.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.02 / $85.06 / $130.13	Professional	52	$39.02	$85.06	$130.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.80 / $181.80 / $218.16	Facility		$181.80	$181.80	$218.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $95.17 / $245.09	Professional		$64.72	$95.17	$245.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.74 / $91.74 / $91.74	Facility		$91.74	$91.74	$91.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.48 / $215.77 / $384.88	Professional		$207.48	$215.77	$384.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.93 / $185.93 / $185.93	Facility		$185.93	$185.93	$185.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $162.00 / $344.73	Professional		$87.78	$162.00	$344.73
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $197.77 / $348.28	Professional		$158.22	$197.77	$348.28