Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $1,295.00 / $3,804.00	Facility		$205.09	$1,295.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $228.10 / $385.03	Professional		$163.34	$228.10	$385.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,886.47 / $1,886.47 / $2,263.76	Facility		$1,886.47	$1,886.47	$2,263.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $222.69 / $420.61	Professional		$151.43	$222.69	$420.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Facility		$215.87	$215.87	$215.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.04 / $348.44 / $625.87	Professional		$335.04	$348.44	$625.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,718.94 / $1,718.94 / $1,718.94	Facility		$1,718.94	$1,718.94	$1,718.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $295.77 / $575.32	Professional		$208.44	$295.77	$575.32
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $538.88 / $538.88 / $538.88	Professional		$538.88	$538.88	$538.88
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,558.00	Facility		$590.00	$1,230.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.81 / $302.17 / $572.50	Professional		$239.81	$302.17	$572.50