Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.02 / $803.00 / $2,812.00	Facility		$158.02	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $146.68 / $222.93	Professional		$114.61	$146.68	$222.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $236.70 / $236.70 / $236.70	Professional	50	$236.70	$236.70	$236.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $276.52 / $331.84	Facility		$276.52	$276.52	$331.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $175.13 / $202.10	Professional		$132.32	$175.13	$202.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.11 / $151.30 / $430.29	Facility		$139.11	$151.30	$430.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $154.59 / $160.77	Professional		$154.59	$154.59	$160.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.91 / $257.91 / $257.91	Facility		$257.91	$257.91	$257.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $207.94 / $274.70	Professional		$142.22	$207.94	$274.70
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $173.52 / $262.79	Professional		$120.94	$173.52	$262.79