Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.71 / $996.71 / $996.71	Facility		$996.71	$996.71	$996.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.27 / $996.71 / $1,086.60	Professional		$805.27	$996.71	$1,086.60
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 $1,386.73 / $1,835.38 / $2,039.31	Professional		$1,386.73	$1,835.38	$2,039.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.93 / $183.93 / $184.62	Facility		$183.93	$183.93	$184.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $183.93 / $183.93	Professional		$183.93	$183.93	$183.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $144.13	Professional		$91.49	$107.63	$144.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $94.97 / $1,024.24	Professional		$53.82	$94.97	$1,024.24