Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.84 / $1,397.00 / $4,478.00	Facility		$419.84	$1,397.00	$4,478.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $765.75 / $867.00 / $1,908.57	Facility	50	$765.75	$867.00	$1,908.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $346.61 / $512.45	Professional		$270.74	$346.61	$512.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $452.00 / $452.00 / $452.00	Professional	50	$452.00	$452.00	$452.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,292.46 / $6,292.46 / $7,550.95	Facility		$6,292.46	$6,292.46	$7,550.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.74 / $351.72 / $351.72	Professional		$265.74	$351.72	$351.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.32 / $378.32 / $378.32	Facility		$378.32	$378.32	$378.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $317.67 / $584.76	Professional		$305.45	$317.67	$584.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,953.80 / $2,953.80 / $2,953.80	Facility		$2,953.80	$2,953.80	$2,953.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.23 / $465.15 / $679.00	Professional		$285.23	$465.15	$679.00
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,233.00	Facility		$980.00	$1,650.00	$4,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $378.08 / $540.61	Professional		$252.05	$378.08	$540.61