Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.08 / $220.26 / $304.17	Facility		$175.08	$220.26	$304.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $169.57 / $220.26	Professional		$105.62	$169.57	$220.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.28 / $199.28 / $199.28	Facility		$199.28	$199.28	$199.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $218.51 / $218.51	Professional		$148.59	$218.51	$218.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $209.77	Facility		$174.81	$174.81	$209.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $113.63 / $174.81	Professional		$113.63	$113.63	$174.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.80 / $147.72 / $325.24	Facility		$113.80	$147.72	$325.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $159.06 / $262.58	Professional		$83.91	$159.06	$262.58
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $175.08	Professional		$73.42	$104.89	$175.08