Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.22 / $493.22 / $493.22	Facility		$493.22	$493.22	$493.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.22 / $744.18 / $1,114.07	Professional		$493.22	$744.18	$1,114.07
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 $898.85 / $1,189.66 / $1,321.84	Professional		$898.85	$1,189.66	$1,321.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Facility		$104.73	$104.73	$104.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.28 / $718.57 / $845.38	Professional		$502.28	$718.57	$845.38
United Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $94.76 / $1,866.06	Professional		$43.75	$94.76	$1,866.06