Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.21 / $491.40 / $725.20	Facility		$401.21	$491.40	$725.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.03 / $495.97 / $648.33	Professional		$343.03	$495.97	$648.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.36 / $694.64 / $694.64	Professional		$472.36	$694.64	$694.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $500.14	Facility		$416.78	$416.78	$500.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $270.91 / $416.78	Professional		$270.91	$270.91	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.26 / $479.75 / $1,057.05	Facility		$314.26	$479.75	$1,057.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $409.67 / $633.73	Professional		$247.80	$409.67	$633.73
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $283.58 / $621.41	Professional		$175.05	$283.58	$621.41