Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.26 / $220.26 / $304.17	Facility		$220.26	$220.26	$304.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $169.57 / $220.26	Professional		$104.89	$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 $157.33 / $262.22 / $262.22	Professional		$157.33	$262.22	$262.22
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 $113.63 / $225.33 / $327.70	Facility		$113.63	$225.33	$327.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $150.66 / $262.58	Professional		$71.51	$150.66	$262.58
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $175.08	Professional		$73.42	$104.89	$175.08