Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.49 / $1,641.00 / $3,900.79	Facility		$378.49	$1,641.00	$3,900.79
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $136.13 / $189.25 / $746.02	Facility	52	$136.13	$189.25	$746.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.45 / $75.70 / $298.41	Facility	53	$54.45	$75.70	$298.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $368.93 / $1,492.04	Professional		$234.72	$368.93	$1,492.04
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $50.93 / $82.59 / $298.41	Professional	53	$50.93	$82.59	$298.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,875.60 / $2,875.60 / $3,450.72	Facility		$2,875.60	$2,875.60	$3,450.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.09 / $339.84 / $1,711.00	Professional		$231.09	$339.84	$1,711.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.41 / $334.41 / $334.41	Facility		$334.41	$334.41	$334.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,345.14 / $1,398.94 / $2,480.87	Professional		$1,345.14	$1,398.94	$2,480.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,279.82 / $2,279.82 / $2,279.82	Facility		$2,279.82	$2,279.82	$2,279.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.76 / $464.57 / $2,285.36	Professional		$363.76	$464.57	$2,285.36
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 $326.27 / $1,288.81 / $2,486.13	Professional		$326.27	$1,288.81	$2,486.13