Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $103.43 / $103.43	Professional		$103.43	$103.43	$103.43
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 $170.29 / $225.38 / $250.42	Professional		$170.29	$225.38	$250.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $148.81 / $269.83	Facility		$19.84	$148.81	$269.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $148.81 / $317.45	Professional		$19.84	$148.81	$317.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $170.42	Facility		$123.59	$123.59	$170.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $170.42	Professional		$105.05	$123.59	$170.42
United Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $119.05 / $175.56	Professional		$63.73	$119.05	$175.56