Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.52 / $2,405.40 / $7,856.00	Facility		$848.52	$2,405.40	$7,856.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,083.00 / $6,552.29 / $6,952.00	Facility	50	$1,083.00	$6,552.29	$6,952.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.15 / $565.66 / $639.49	Professional		$386.15	$565.66	$639.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,782.27 / $4,782.27 / $5,738.72	Facility		$4,782.27	$4,782.27	$5,738.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.17 / $500.52 / $500.52	Professional		$378.17	$500.52	$500.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $591.00 / $591.00	Facility		$591.00	$591.00	$591.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.06 / $497.19 / $913.51	Professional		$478.06	$497.19	$913.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.40 / $718.01 / $778.18	Professional		$471.40	$718.01	$778.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $762.21 / $762.21 / $762.21	Professional		$762.21	$762.21	$762.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $2,828.00 / $6,992.00	Facility		$1,565.00	$2,828.00	$6,992.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.22 / $457.39 / $803.34	Professional		$368.22	$457.39	$803.34