Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $49.53 / $49.53	Facility		$49.53	$49.53	$49.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $49.53 / $49.53	Professional		$32.90	$49.53	$49.53
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 $76.94 / $101.83 / $113.14	Professional		$76.94	$101.83	$113.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $75.61 / $92.11	Facility		$75.61	$75.61	$92.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $75.61 / $75.61	Professional		$75.61	$75.61	$75.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $79.79	Facility		$65.20	$65.20	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $69.62	Professional		$47.60	$65.20	$69.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $40.13 / $53.57	Professional		$25.15	$40.13	$53.57