Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.17 / $865.28 / $1,069.88	Facility		$667.17	$865.28	$1,069.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.38 / $835.13 / $1,200.45	Professional		$580.38	$835.13	$1,200.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.35 / $908.41 / $1,181.39	Professional		$686.35	$908.41	$1,181.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,186.49 / $1,186.49 / $1,186.49	Facility		$1,186.49	$1,186.49	$1,186.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,177.93 / $1,225.04 / $2,295.52	Professional		$1,177.93	$1,225.04	$2,295.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.47 / $998.35 / $1,464.58	Professional		$705.47	$998.35	$1,464.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,488.94 / $1,488.94 / $1,488.94	Professional		$1,488.94	$1,488.94	$1,488.94
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,056.00 / $2,558.00	Facility		$375.00	$1,056.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.70 / $884.59 / $1,652.76	Professional		$714.70	$884.59	$1,652.76