Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.17 / $641.17 / $885.43	Facility		$641.17	$641.17	$885.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.45 / $493.60 / $641.17	Professional		$307.45	$493.60	$641.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.11 / $580.11 / $580.11	Facility		$580.11	$580.11	$580.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.54 / $636.09 / $636.09	Professional		$432.54	$636.09	$636.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $508.87 / $610.64	Facility		$508.87	$508.87	$610.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $330.77 / $508.87	Professional		$330.77	$330.77	$508.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.69 / $416.77 / $760.77	Facility		$383.69	$416.77	$760.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $440.50 / $759.79	Professional		$209.10	$440.50	$759.79
United Facility/Professional Facility Modifier Low / Median / High Price $457.98 / $457.98 / $512.42	Facility		$457.98	$457.98	$512.42
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $305.32 / $508.87	Professional		$213.73	$305.32	$508.87