Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.74 / $690.00 / $2,500.00	Facility		$100.74	$690.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $113.07 / $181.69	Professional		$64.76	$113.07	$181.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.30 / $655.30 / $786.37	Facility		$655.30	$655.30	$786.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $119.75 / $233.95	Professional		$81.43	$119.75	$233.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.35 / $93.79 / $265.13	Facility		$85.35	$93.79	$265.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $173.10 / $180.02	Professional		$173.10	$173.10	$180.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.58 / $726.58 / $726.58	Facility		$726.58	$726.58	$726.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $157.54 / $278.10	Professional		$85.87	$157.54	$278.10
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 $114.66 / $176.41 / $246.19	Professional		$114.66	$176.41	$246.19