Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $49.63 / $76.65	Facility		$35.22	$49.63	$76.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $36.89 / $55.13	Professional		$25.62	$36.89	$55.13
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 $30.66 / $44.79 / $59.28	Professional		$30.66	$44.79	$59.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $37.46 / $105.39	Facility		$34.24	$37.46	$105.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $48.70 / $50.65	Professional		$48.70	$48.70	$50.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $106.34 / $106.34	Facility		$106.34	$106.34	$106.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $50.73 / $69.97	Professional		$33.03	$50.73	$69.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $66.95	Professional		$66.95	$66.95	$66.95
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $306.00 / $768.00	Facility		$130.00	$306.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $50.25 / $78.02	Professional		$37.04	$50.25	$78.02