Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $139.29 / $3,109.00	Facility		$54.08	$139.29	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $87.81 / $109.72	Professional		$44.24	$87.81	$109.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.37 / $211.37 / $253.64	Facility		$211.37	$211.37	$253.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $68.64 / $126.41	Professional		$46.68	$68.64	$126.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.97 / $64.97 / $64.97	Facility		$64.97	$64.97	$64.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $108.68 / $194.16	Professional		$104.50	$108.68	$194.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.62 / $345.62 / $345.62	Facility		$345.62	$345.62	$345.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $88.13 / $177.61	Professional		$54.50	$88.13	$177.61
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $330.00 / $858.00	Facility		$130.00	$330.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $104.89 / $179.34	Professional		$87.60	$104.89	$179.34