Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.68 / $975.00 / $2,500.00	Facility		$151.68	$975.00	$2,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.60 / $90.67 / $141.13	Facility	52	$55.60	$90.67	$141.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.24 / $36.27 / $56.46	Facility	53	$22.24	$36.27	$56.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $181.34 / $376.52	Professional		$97.80	$181.34	$376.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $48.90 / $73.86 / $144.41	Professional	52	$48.90	$73.86	$144.41
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.55 / $29.54 / $57.76	Professional	53	$19.55	$29.54	$57.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.99 / $635.99 / $763.19	Facility		$635.99	$635.99	$763.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $118.42 / $313.83	Professional		$80.53	$118.42	$313.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.32 / $114.32 / $114.32	Facility		$114.32	$114.32	$114.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.55 / $251.21 / $448.24	Professional		$241.55	$251.21	$448.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.91 / $719.91 / $719.91	Facility		$719.91	$719.91	$719.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $228.00 / $397.13	Professional		$139.30	$228.00	$397.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $389.69 / $389.69 / $389.69	Professional		$389.69	$389.69	$389.69
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $917.00 / $1,574.00	Facility		$330.00	$917.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $216.93 / $410.99	Professional		$182.10	$216.93	$410.99