Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.85 / $128.85 / $177.93	Facility		$128.85	$128.85	$177.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $128.85 / $140.43	Professional		$88.97	$128.85	$140.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.58 / $116.58 / $116.58	Facility		$116.58	$116.58	$116.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $153.38 / $153.38	Professional		$104.31	$153.38	$153.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $102.26 / $122.71	Facility		$102.26	$102.26	$122.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $66.47 / $102.26	Professional		$66.47	$66.47	$102.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.11 / $141.44 / $304.12	Facility		$77.11	$141.44	$304.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $109.67 / $157.04	Professional		$87.90	$109.67	$157.04
United Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $92.03 / $92.03	Facility		$92.03	$92.03	$92.03
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $102.26	Professional		$42.95	$61.36	$102.26