Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.03 / $91.42 / $95.99	Facility		$90.03	$91.42	$95.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $77.28 / $92.18	Professional		$75.03	$77.28	$92.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $82.65 / $82.65	Facility		$82.65	$82.65	$82.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $82.65 / $82.65	Professional		$78.55	$82.65	$82.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $99.03 / $113.15	Facility		$75.03	$99.03	$113.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $173.97	Professional		$75.03	$75.03	$173.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $75.02 / $97.22	Facility		$70.78	$75.02	$97.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $81.40	Professional		$75.02	$75.02	$81.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $96.04	Professional		$75.03	$75.03	$96.04