Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.92 / $3,200.00 / $9,477.00	Facility		$937.92	$3,200.00	$9,477.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $425.04 / $438.19 / $627.78	Facility	52	$425.04	$438.19	$627.78
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $3,729.80 / $3,729.80 / $3,729.80	Facility	80	$3,729.80	$3,729.80	$3,729.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,300.93 / $5,300.93 / $6,043.06	Facility		$5,300.93	$5,300.93	$6,043.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $667.70 / $927.60 / $1,146.75	Facility		$667.70	$927.60	$1,146.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,473.00 / $4,726.62	Facility		$515.00	$1,473.00	$4,726.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,635.00 / $8,676.00	Facility		$2,000.00	$3,635.00	$8,676.00