Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.44 / $955.31 / $960.18	Facility		$904.44	$955.31	$960.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $955.31 / $960.18	Professional		$796.09	$955.31	$960.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.09 / $868.09 / $868.09	Facility		$868.09	$868.09	$868.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.09 / $868.09 / $868.09	Professional		$868.09	$868.09	$868.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $796.09 / $796.09	Facility		$796.09	$796.09	$796.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $796.09	Professional		$796.09	$796.09	$796.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $696.64 / $796.09 / $796.09	Facility		$696.64	$796.09	$796.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $806.51	Professional		$796.09	$796.09	$806.51
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $812.01	Professional		$318.44	$796.09	$812.01