Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.61 / $1,230.00 / $3,109.00	Facility		$158.61	$1,230.00	$3,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,144.30 / $2,144.30 / $2,144.30	Facility	50	$2,144.30	$2,144.30	$2,144.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $170.93 / $220.53	Professional		$123.85	$170.93	$220.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $412.80 / $412.80 / $522.00	Professional	50	$412.80	$412.80	$522.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.60 / $464.60 / $557.52	Facility		$464.60	$464.60	$557.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $196.39 / $266.81	Professional		$133.55	$196.39	$266.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.10 / $184.10 / $184.10	Facility		$184.10	$184.10	$184.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $231.19 / $414.49	Professional		$222.30	$231.19	$414.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.90 / $768.90 / $768.90	Facility		$768.90	$768.90	$768.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $226.88 / $339.90	Professional		$147.97	$226.88	$339.90
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $330.00 / $768.00	Facility		$130.00	$330.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $203.76 / $376.20	Professional		$162.26	$203.76	$376.20