Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $164.57 / $164.57	Facility		$0.02	$164.57	$164.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $20.27 / $20.27	Professional		$12.16	$20.27	$20.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $21.62	Facility		$21.62	$21.62	$21.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $20.59	Professional		$13.38	$13.38	$20.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Facility		$1.08	$1.08	$1.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $19.62 / $28.66	Professional		$15.69	$19.62	$28.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Professional		$23.68	$23.68	$23.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $10.16 / $15.69	Professional		$7.66	$10.16	$15.69