Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Facility		$416.87	$416.87	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $489.78	Professional		$416.87	$416.87	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $416.87 / $588.84	Facility		$331.13	$416.87	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $416.87	Professional		$269.15	$269.15	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $776.25	Facility		$269.15	$331.13	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $416.87	Facility		$371.54	$371.54	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $562.34	Professional		$173.78	$251.19	$562.34