Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.36 / $57.36 / $57.36	Facility		$57.36	$57.36	$57.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $57.36 / $57.36	Professional		$42.78	$57.36	$57.36
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 $89.08 / $117.90 / $131.00	Professional		$89.08	$117.90	$131.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $100.25 / $103.26	Facility		$100.25	$100.25	$103.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $100.25 / $100.25	Professional		$100.25	$100.25	$100.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $82.55	Facility		$57.32	$57.32	$82.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $77.56	Professional		$41.84	$41.84	$77.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $94.93 / $94.93	Professional		$94.93	$94.93	$94.93
United Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $103.97 / $122.32	Facility		$103.97	$103.97	$122.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $46.49 / $62.20	Professional		$30.51	$46.49	$62.20