Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.62 / $262.62 / $262.62	Facility		$262.62	$262.62	$262.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.63 / $262.62 / $262.62	Professional		$199.63	$262.62	$262.62
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 $407.88 / $539.85 / $599.83	Professional		$407.88	$539.85	$599.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.73 / $458.73 / $472.52	Facility		$458.73	$458.73	$472.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.73 / $458.73 / $458.73	Professional		$458.73	$458.73	$458.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $377.98	Facility		$294.27	$294.27	$377.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $294.27 / $369.13	Professional		$214.82	$294.27	$369.13
United Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $276.79 / $279.27	Facility		$161.38	$276.79	$279.27
United Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $235.72 / $315.60	Professional		$157.13	$235.72	$315.60