Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.87 / $1,782.00 / $7,856.00	Facility		$481.87	$1,782.00	$7,856.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,434.88 / $1,434.88 / $1,434.88	Facility	50	$1,434.88	$1,434.88	$1,434.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.02 / $481.87 / $561.23	Professional		$363.02	$481.87	$561.23
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 $353.42 / $467.76 / $467.76	Professional		$353.42	$467.76	$467.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.51 / $503.51 / $503.51	Facility		$503.51	$503.51	$503.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.45 / $423.75 / $778.27	Professional		$407.45	$423.75	$778.27
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 $401.26 / $611.91 / $663.19	Professional		$401.26	$611.91	$663.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $649.69 / $649.69 / $649.69	Professional		$649.69	$649.69	$649.69
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,233.00	Facility		$980.00	$1,650.00	$4,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.76 / $387.66 / $734.47	Professional		$324.76	$387.66	$734.47