Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.23 / $233.35 / $322.25	Facility		$222.23	$233.35	$322.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $179.64 / $233.35	Professional		$100.00	$179.64	$233.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.13 / $211.13 / $211.13	Facility		$211.13	$211.13	$211.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $277.80 / $277.80	Professional		$188.90	$277.80	$277.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $222.24	Facility		$185.20	$185.20	$222.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $120.38 / $185.20	Professional		$120.38	$120.38	$185.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $154.47 / $276.87	Facility		$120.38	$154.47	$276.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $185.76 / $278.31	Professional		$140.16	$185.76	$278.31
United Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $166.68 / $166.68	Facility		$166.68	$166.68	$166.68
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $185.20	Professional		$77.78	$111.12	$185.20