Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Facility		$119.70	$119.70	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $128.00	Professional		$119.70	$119.70	$128.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.35 / $356.46 / $466.79	Facility		$267.35	$356.46	$466.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $72.90 / $131.22	Professional		$7.48	$72.90	$131.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.34 / $162.34 / $162.34	Facility		$162.34	$162.34	$162.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $94.50	Facility		$94.50	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $94.50 / $150.55	Professional		$94.50	$94.50	$150.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Professional		$119.70	$119.70	$119.70