Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.50 / $1,137.65 / $4,904.14	Facility		$485.50	$1,137.65	$4,904.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.56 / $59.34 / $320.17	Facility	53	$39.56	$59.34	$320.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $270.86 / $1,137.65	Professional		$162.79	$270.86	$1,137.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,830.12	Facility		$1,525.10	$1,525.10	$1,830.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $197.87 / $966.62	Professional		$134.55	$197.87	$966.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.10 / $215.10 / $215.10	Facility		$215.10	$215.10	$215.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $885.01 / $920.41 / $1,627.37	Professional		$885.01	$920.41	$1,627.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $360.00 / $1,642.66	Professional		$220.72	$360.00	$1,642.66
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,263.00 / $2,558.00	Facility		$590.00	$1,263.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.93 / $1,092.69 / $1,781.39	Professional		$887.93	$1,092.69	$1,781.39