Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.65 / $214.65 / $214.65	Facility		$214.65	$214.65	$214.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $214.65 / $214.65	Professional		$115.96	$214.65	$214.65
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 $230.04 / $304.45 / $338.29	Professional		$230.04	$304.45	$338.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $266.47 / $266.47	Facility		$266.47	$266.47	$266.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $266.47 / $266.47	Professional		$266.47	$266.47	$266.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $209.38	Professional		$130.22	$178.39	$209.38
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $123.96 / $189.75	Professional		$79.76	$123.96	$189.75