Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $128.34 / $128.34	Facility		$128.34	$128.34	$128.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $128.34 / $128.34	Professional		$68.70	$128.34	$128.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219,999.78 / $539,999.46 / $949,999.05	Facility		$219,999.78	$539,999.46	$949,999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $150.16 / $166.84	Professional		$113.45	$150.16	$166.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,608.14 / $1,608.14 / $1,656.60	Facility		$1,608.14	$1,608.14	$1,656.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,608.14 / $1,608.14 / $1,608.14	Professional		$1,608.14	$1,608.14	$1,608.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $125.77	Professional		$102.00	$120.00	$125.77
United Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $77.00 / $129.50	Professional		$46.08	$77.00	$129.50