Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $564.29 / $4,120.50	Facility		$84.26	$564.29	$4,120.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $97.00 / $146.76	Professional		$57.32	$97.00	$146.76
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 $71.84 / $105.64 / $172.61	Professional		$71.84	$105.64	$172.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $83.13 / $242.13	Facility		$75.45	$83.13	$242.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $130.25 / $135.46	Professional		$130.25	$130.25	$135.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.59 / $375.59 / $375.59	Facility		$375.59	$375.59	$375.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $136.84 / $234.34	Professional		$82.13	$136.84	$234.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $107.09 / $107.09 / $107.09	Professional		$107.09	$107.09	$107.09
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 $70.58 / $111.89 / $199.48	Professional		$70.58	$111.89	$199.48