Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $507.07 / $1,282.20	Facility		$2.75	$507.07	$1,282.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $2.75 / $2.75	Professional		$2.62	$2.75	$2.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $48,999.51 / $48,999.51	Facility		$48,999.51	$48,999.51	$48,999.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $2.75 / $14.28	Facility		$2.68	$2.75	$14.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $3.08	Professional		$2.70	$2.70	$3.08