Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.10 / $231.10 / $33,627.86	Facility		$220.10	$231.10	$33,627.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $192.65 / $220.17	Professional		$183.48	$192.65	$220.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.98 / $198.98 / $198.98	Facility		$198.98	$198.98	$198.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $198.98 / $198.98	Professional		$187.02	$198.98	$198.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $238.52 / $275.12	Facility		$183.41	$238.52	$275.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.48 / $425.41	Professional		$183.41	$183.48	$425.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.63 / $180.05 / $183.48	Facility		$162.63	$180.05	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $199.06	Professional		$183.48	$183.48	$199.06
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $192.65 / $216.06	Professional		$183.48	$192.65	$216.06