Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.36 / $1,445.25 / $3,237.26	Facility		$213.36	$1,445.25	$3,237.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $478.00 / $1,731.28 / $3,308.00	Facility	50	$478.00	$1,731.28	$3,308.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $103.19 / $138.12 / $314.77	Facility	52	$103.19	$138.12	$314.77
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $55.25 / $125.91	Facility	53	$41.28	$55.25	$125.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $230.59 / $629.55	Professional		$144.33	$230.59	$629.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $738.87 / $738.87 / $1,456.89	Professional	50	$738.87	$738.87	$1,456.89
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 $155.69 / $228.96 / $524.49	Professional		$155.69	$228.96	$524.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.95 / $220.95 / $220.95	Facility		$220.95	$220.95	$220.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $412.04 / $428.52 / $766.26	Professional		$412.04	$428.52	$766.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,575.46 / $2,575.46 / $2,575.46	Facility		$2,575.46	$2,575.46	$2,575.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $457.00 / $804.36	Professional		$213.66	$457.00	$804.36
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.12 / $468.72 / $826.39	Professional		$350.12	$468.72	$826.39