Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.60 / $669.60 / $669.60	Facility		$669.60	$669.60	$669.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.18 / $669.60 / $669.60	Professional		$499.18	$669.60	$669.60
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 $1,039.99 / $1,376.46 / $1,529.40	Professional		$1,039.99	$1,376.46	$1,529.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,169.59 / $1,169.59 / $1,204.82	Facility		$1,169.59	$1,169.59	$1,204.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,169.59 / $1,169.59 / $1,169.59	Professional		$1,169.59	$1,169.59	$1,169.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $963.76	Facility		$736.69	$736.69	$963.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $905.35	Professional		$537.78	$537.78	$905.35
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,108.32 / $1,108.32 / $1,108.32	Professional		$1,108.32	$1,108.32	$1,108.32
United Facility/Professional Professional Modifier Low / Median / High Price $356.04 / $542.66 / $804.96	Professional		$356.04	$542.66	$804.96