Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $89.05 / $89.05	Professional		$89.05	$89.05	$89.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $194.10 / $215.67	Professional		$146.66	$194.10	$215.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $17.09 / $21.88	Facility		$17.09	$17.09	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $21.79	Professional		$17.09	$17.09	$21.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $139.79	Facility		$64.17	$64.17	$139.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $139.79	Professional		$13.43	$64.17	$139.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $84.26 / $160.27	Professional		$48.22	$84.26	$160.27