Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.25 / $975.00 / $2,812.00	Facility		$155.25	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $166.20 / $260.17	Professional		$128.66	$166.20	$260.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.11 / $228.11 / $303.77	Professional		$155.11	$228.11	$303.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.39 / $265.39 / $265.39	Facility		$265.39	$265.39	$265.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $309.30 / $574.41	Professional		$297.39	$309.30	$574.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $229.23 / $370.56	Professional		$150.88	$229.23	$370.56
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,056.00 / $2,421.00	Facility		$375.00	$1,056.00	$2,421.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $215.09 / $407.73	Professional		$147.13	$215.09	$407.73