Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $103.42 / $103.42	Professional		$103.42	$103.42	$103.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $225.34 / $250.38	Professional		$170.26	$225.34	$250.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $19.84 / $25.60	Facility		$19.84	$19.84	$25.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $25.60	Professional		$19.84	$19.84	$25.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $167.97	Facility		$112.00	$112.73	$167.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $112.73 / $167.97	Professional		$15.59	$112.73	$167.97
United Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $90.13 / $157.19	Professional		$56.16	$90.13	$157.19