Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.06 / $207.64 / $9,991.83	Facility		$207.06	$207.64	$9,991.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $178.22 / $207.64	Professional		$173.03	$178.22	$207.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $187.20 / $187.20	Facility		$187.20	$187.20	$187.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $187.20 / $187.20	Professional		$171.15	$187.20	$187.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $224.94 / $258.83	Facility		$172.55	$224.94	$258.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $173.03 / $401.16	Professional		$172.55	$173.03	$401.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.55 / $165.71 / $173.03	Facility		$128.55	$165.71	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $187.72	Professional		$173.03	$173.03	$187.72
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $206.53	Professional		$173.03	$173.03	$206.53