Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.81 / $269.75 / $395.12	Facility		$188.81	$269.75	$395.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $272.70 / $292.93	Professional		$266.30	$272.70	$292.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $304.80 / $304.80	Facility		$304.80	$304.80	$304.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $304.80 / $304.80	Professional		$304.80	$304.80	$304.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.62 / $246.62 / $246.62	Facility		$246.62	$246.62	$246.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $638.69	Professional		$267.37	$267.37	$638.69