Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $67.78 / $67.78	Professional		$67.78	$67.78	$67.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $147.68 / $164.09	Professional		$111.58	$147.68	$164.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $97.51 / $158.15	Facility		$13.00	$97.51	$158.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $97.51 / $158.15	Professional		$13.00	$97.51	$158.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $104.45	Facility		$88.16	$88.16	$104.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $104.45	Professional		$74.94	$88.16	$104.45
United Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $71.34 / $130.93	Professional		$43.90	$71.34	$130.93