Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $76.25 / $153.84	Facility		$76.25	$76.25	$153.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $69.81 / $122.00	Professional		$53.27	$69.81	$122.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.29 / $103.29 / $134.28	Facility		$103.29	$103.29	$134.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $134.94 / $134.94	Professional		$134.94	$134.94	$134.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $102.36 / $105.86	Facility		$96.24	$102.36	$105.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $90.51 / $111.31	Professional		$68.97	$90.51	$111.31
United Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $80.69 / $105.51	Professional		$69.17	$80.69	$105.51