Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.87 / $1,218.00 / $3,804.00	Facility		$179.87	$1,218.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $239.21 / $366.08	Professional		$143.66	$239.21	$366.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,886.47 / $1,886.47 / $2,263.76	Facility		$1,886.47	$1,886.47	$2,263.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $196.13 / $398.85	Professional		$133.37	$196.13	$398.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.96 / $188.96 / $188.96	Facility		$188.96	$188.96	$188.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $326.52 / $584.92	Professional		$313.98	$326.52	$584.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,575.46 / $2,575.46 / $2,575.46	Facility		$2,575.46	$2,575.46	$2,575.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $308.89 / $525.41	Professional		$182.51	$308.89	$525.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $244.75 / $244.75 / $244.75	Professional		$244.75	$244.75	$244.75
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.83 / $314.74 / $562.11	Professional		$254.83	$314.74	$562.11