Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.24 / $803.00 / $2,812.00	Facility		$100.24	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $116.01 / $179.92	Professional		$70.25	$116.01	$179.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.09 / $141.71	Facility		$118.09	$118.09	$141.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $91.56 / $132.38	Professional		$62.26	$91.56	$132.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $94.78 / $94.78	Professional		$94.78	$94.78	$94.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $67.53 / $67.53	Facility		$67.53	$67.53	$67.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $121.56 / $198.53	Professional		$55.42	$121.56	$198.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $215.50 / $215.50	Professional		$215.50	$215.50	$215.50
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $120.83 / $202.08	Professional		$96.15	$120.83	$202.08