Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.44 / $2,842.50 / $9,653.00	Facility		$821.44	$2,842.50	$9,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.91 / $776.93 / $998.38	Professional		$610.91	$776.93	$998.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,259.72 / $3,259.72 / $3,911.66	Facility		$3,259.72	$3,259.72	$3,911.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.14 / $765.18 / $985.37	Professional		$578.14	$765.18	$985.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $813.62 / $813.62 / $813.62	Facility		$813.62	$813.62	$813.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $836.09 / $869.53 / $1,575.03	Professional		$836.09	$869.53	$1,575.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,173.89 / $4,173.89 / $4,173.89	Facility		$4,173.89	$4,173.89	$4,173.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.10 / $1,057.24 / $1,470.00	Professional		$774.10	$1,057.24	$1,470.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,058.09 / $1,058.09 / $1,058.09	Professional		$1,058.09	$1,058.09	$1,058.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $4,334.00 / $8,676.00	Facility		$2,000.00	$4,334.00	$8,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.29 / $886.12 / $1,388.60	Professional		$683.29	$886.12	$1,388.60