Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.62 / $172.62 / $238.38	Facility		$172.62	$172.62	$238.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $132.88 / $172.62	Professional		$82.20	$132.88	$172.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.18 / $156.18 / $156.18	Facility		$156.18	$156.18	$156.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $205.50 / $205.50	Professional		$123.30	$205.50	$205.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $164.40	Facility		$137.00	$137.00	$164.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $89.05 / $137.00	Professional		$89.05	$89.05	$137.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $176.92 / $256.75	Facility		$89.05	$176.92	$256.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $120.82 / $206.16	Professional		$55.92	$120.82	$206.16
United Facility/Professional Facility Modifier Low / Median / High Price $123.30 / $123.30 / $123.30	Facility		$123.30	$123.30	$123.30
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $137.00	Professional		$57.54	$82.20	$137.00