Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $562.34	Facility		$128.82	$213.80	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $213.80	Professional		$112.20	$144.54	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Facility		$194.98	$194.98	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $213.80	Professional		$144.54	$213.80	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $239.88	Facility		$134.90	$134.90	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $169.82	Professional		$109.65	$109.65	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $316.23	Facility		$109.65	$134.90	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $154.88 / $257.04	Professional		$67.61	$154.88	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $169.82	Facility		$151.36	$151.36	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $144.54	Professional		$64.57	$77.62	$144.54