Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.04 / $190.70 / $190.70	Facility		$189.04	$190.70	$190.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $190.70 / $190.70	Professional		$158.91	$190.70	$190.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.41 / $172.41 / $172.41	Facility		$172.41	$172.41	$172.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $172.41 / $172.41	Professional		$172.41	$172.41	$172.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.62 / $152.91 / $158.91	Facility		$145.62	$152.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $163.69	Professional		$63.57	$158.91	$163.69