Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.48 / $243.50 / $336.26	Facility		$197.48	$243.50	$336.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $187.45 / $243.50	Professional		$119.14	$187.45	$243.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.31 / $220.31 / $220.31	Facility		$220.31	$220.31	$220.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $241.56 / $241.56	Professional		$164.26	$241.56	$241.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $231.90	Facility		$193.25	$193.25	$231.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $125.61 / $193.25	Professional		$125.61	$125.61	$193.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.36 / $166.62 / $367.23	Facility		$128.36	$166.62	$367.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $175.97 / $290.25	Professional		$94.65	$175.97	$290.25
United Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $173.93 / $193.25	Facility		$173.93	$173.93	$193.25
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $197.48	Professional		$81.17	$115.95	$197.48