Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $94.73 / $585.05	Facility		$83.67	$94.73	$585.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $83.67 / $107.08	Professional		$69.73	$83.67	$107.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $89.37 / $89.37	Facility		$89.37	$89.37	$89.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $89.37 / $89.37	Professional		$89.37	$89.37	$89.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Facility		$69.73	$69.73	$69.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $69.73 / $95.63	Facility		$65.78	$69.73	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $79.48	Professional		$27.89	$69.73	$79.48