Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $162.40 / $162.40	Professional		$162.40	$162.40	$162.40
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 $267.38 / $353.88 / $393.20	Professional		$267.38	$353.88	$393.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $233.65 / $419.17	Facility		$31.15	$233.65	$419.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $233.65 / $419.17	Professional		$31.15	$233.65	$419.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.70	Facility		$204.05	$204.05	$273.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $244.85	Professional		$173.44	$204.05	$244.85
United Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $165.00 / $250.41	Facility		$18.53	$165.00	$250.41
United Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $185.26 / $292.39	Professional		$105.44	$185.26	$292.39