Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.32 / $645.32 / $645.32	Facility		$645.32	$645.32	$645.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $873.72 / $1,283.70	Professional		$645.32	$873.72	$1,283.70
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 $1,148.32 / $1,519.83 / $1,688.70	Professional		$1,148.32	$1,519.83	$1,688.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.79 / $133.79 / $133.79	Facility		$133.79	$133.79	$133.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $133.79 / $133.79	Professional		$133.79	$133.79	$133.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $936.57	Facility		$936.57	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $796.08 / $936.57	Professional		$100.22	$796.08	$936.57
United Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $123.36 / $2,290.63	Professional		$52.12	$123.36	$2,290.63