Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.25 / $1,632.00 / $7,595.23	Facility		$198.25	$1,632.00	$7,595.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $722.50 / $2,167.50 / $5,169.00	Facility	50	$722.50	$2,167.50	$5,169.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.01 / $225.31	Professional		$142.63	$171.01	$225.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.80 / $589.02 / $992.00	Professional	50	$210.80	$589.02	$992.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.79 / $1,411.79 / $1,694.15	Facility		$1,411.79	$1,411.79	$1,694.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.04 / $213.15 / $213.15	Professional		$161.04	$213.15	$213.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.93 / $222.93 / $222.93	Facility		$222.93	$222.93	$222.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $189.70 / $344.58	Professional		$182.40	$189.70	$344.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.43 / $1,734.43 / $1,734.43	Facility		$1,734.43	$1,734.43	$1,734.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $248.14 / $325.00	Professional		$142.13	$248.14	$325.00
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,539.00	Facility		$590.00	$1,230.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $169.73 / $301.10	Professional		$138.41	$169.73	$301.10