Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $1,368.50 / $2,580.60	Facility		$146.80	$1,368.50	$2,580.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $146.80 / $156.79	Professional		$112.34	$146.80	$156.79
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 $228.00 / $301.77 / $335.30	Professional		$228.00	$301.77	$335.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.63 / $261.63 / $276.31	Facility		$261.63	$261.63	$276.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.63 / $261.63 / $261.63	Professional		$261.63	$261.63	$261.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $211.29	Facility		$195.78	$195.78	$211.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.79 / $166.41 / $198.49	Professional		$158.79	$166.41	$198.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $227.18 / $227.18 / $227.18	Professional		$227.18	$227.18	$227.18
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $131.76 / $182.45	Professional		$78.93	$131.76	$182.45