Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $113.82 / $113.82	Professional		$95.90	$113.82	$113.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149,999.85 / $399,999.60 / $999,999.00	Facility		$149,999.85	$399,999.60	$999,999.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $247.92 / $275.47	Professional		$187.32	$247.92	$275.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $21.83 / $29.29	Facility		$21.83	$21.83	$29.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $21.83 / $29.29	Professional		$21.83	$21.83	$29.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $195.37	Facility		$123.98	$123.98	$195.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $123.98 / $195.37	Professional		$17.16	$123.98	$195.37
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $214.23 / $214.23 / $214.23	Professional		$214.23	$214.23	$214.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $105.09 / $200.31	Professional		$64.67	$105.09	$200.31