Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.45 / $231.45 / $231.45	Facility		$231.45	$231.45	$231.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $231.45 / $231.45	Professional		$175.94	$231.45	$231.45
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 $359.49 / $475.79 / $528.66	Professional		$359.49	$475.79	$528.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.30 / $404.30 / $416.48	Facility		$404.30	$404.30	$416.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.30 / $404.30 / $404.30	Professional		$404.30	$404.30	$404.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $333.14	Facility		$267.94	$267.94	$333.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $325.33	Professional		$195.60	$267.94	$325.33
United Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $207.75 / $282.49	Professional		$123.07	$207.75	$282.49