Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.77 / $1,074.00 / $3,109.00	Facility		$292.77	$1,074.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $254.59 / $386.94	Professional		$179.14	$254.59	$386.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,830.12	Facility		$1,525.10	$1,525.10	$1,830.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.98 / $310.60 / $411.09	Professional		$224.98	$310.60	$411.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $292.89 / $292.89	Professional		$292.89	$292.89	$292.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.75 / $827.75 / $827.75	Facility		$827.75	$827.75	$827.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $317.99 / $489.02	Professional		$180.00	$317.99	$489.02
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $370.19 / $370.19 / $370.19	Professional		$370.19	$370.19	$370.19
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.75 / $337.83 / $569.73	Professional		$261.75	$337.83	$569.73