Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $255.00 / $255.00	Professional		$249.00	$255.00	$255.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $250.00 / $250.00	Facility		$241.00	$250.00	$250.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.43 / $255.00 / $255.00	Facility		$141.43	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $250.00	Professional		$100.00	$250.00	$250.00