Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $407.38 / $562.34	Facility		$331.13	$407.38	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $407.38	Professional		$213.80	$275.42	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $501.19	Facility		$371.54	$371.54	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $407.38	Professional		$275.42	$407.38	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $457.09	Facility		$257.04	$257.04	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $323.59	Professional		$208.93	$208.93	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $616.60	Facility		$208.93	$288.40	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $489.78	Professional		$158.49	$302.00	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $323.59	Facility		$295.12	$295.12	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $331.13	Professional		$134.90	$194.98	$331.13