Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $63.20	Facility		$42.13	$42.13	$63.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $44.24 / $44.24	Facility		$44.24	$44.24	$44.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $27.38 / $42.13	Professional		$27.38	$27.38	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $31.76 / $55.03	Facility		$27.38	$31.76	$55.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $42.13 / $60.50	Professional		$20.88	$42.13	$60.50
United Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $37.92 / $37.92	Facility		$37.92	$37.92	$37.92
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.28 / $42.13	Professional		$17.69	$25.28	$42.13