Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.19 / $194.19 / $194.19	Facility		$194.19	$194.19	$194.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $194.19 / $194.19	Professional		$154.29	$194.19	$194.19
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 $301.58 / $399.17 / $443.52	Professional		$301.58	$399.17	$443.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.27 / $360.27 / $392.30	Facility		$360.27	$360.27	$392.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.30 / $392.30 / $392.30	Professional		$392.30	$392.30	$392.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.49 / $302.83 / $302.83	Facility		$279.49	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.04 / $272.94 / $302.83	Professional		$210.04	$272.94	$302.83
United Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $224.66 / $226.68	Facility		$130.99	$224.66	$226.68
United Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $174.29 / $261.98	Professional		$113.34	$174.29	$261.98