Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.50 / $456.50 / $456.50	Facility		$456.50	$456.50	$456.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $687.60 / $1,005.44	Professional		$456.50	$687.60	$1,005.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219,999.78 / $519,999.48 / $949,999.05	Facility		$219,999.78	$519,999.48	$949,999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.33 / $1,231.49 / $1,231.49	Professional		$1,108.33	$1,231.49	$1,231.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.57 / $97.57 / $97.57	Facility		$97.57	$97.57	$97.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $97.57 / $97.57	Professional		$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $83.43	Professional		$24.99	$24.99	$83.43
United Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $72.88 / $363.50	Professional		$40.57	$72.88	$363.50