Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $66.19 / $66.19	Facility		$63.43	$66.19	$66.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $66.19 / $66.19	Professional		$55.16	$66.19	$66.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $59.83 / $59.83	Facility		$59.83	$59.83	$59.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $59.83 / $59.83	Professional		$59.83	$59.83	$59.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Facility		$55.16	$55.16	$55.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $54.58 / $55.16	Facility		$49.60	$54.58	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $55.16	Professional		$54.58	$55.16	$55.16
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $56.81	Professional		$22.06	$55.16	$56.81