Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $17.93 / $148.02	Facility		$12.93	$17.93	$148.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $12.94 / $18.32	Professional		$8.49	$12.94	$18.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $15.27 / $19.85	Facility		$15.27	$15.27	$19.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Professional		$16.30	$16.30	$16.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $12.41 / $12.94	Facility		$11.76	$12.41	$12.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $85.00	Facility		$65.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $54.94 / $114.99	Professional		$14.18	$54.94	$114.99
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $18.60 / $18.60	Professional		$18.60	$18.60	$18.60
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $13.48 / $17.43	Professional		$11.57	$13.48	$17.43