Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.19 / $960.19 / $960.19	Facility		$960.19	$960.19	$960.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.65 / $960.19 / $960.19	Professional		$664.65	$960.19	$960.19
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 $1,491.33 / $1,973.82 / $2,193.13	Professional		$1,491.33	$1,973.82	$2,193.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,604.19 / $1,604.19 / $1,604.19	Facility		$1,604.19	$1,604.19	$1,604.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,604.19 / $1,604.19 / $1,604.19	Professional		$1,604.19	$1,604.19	$1,604.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,382.01	Facility		$1,025.33	$1,025.33	$1,382.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $1,349.62	Professional		$748.49	$1,025.33	$1,349.62
United Facility/Professional Professional Modifier Low / Median / High Price $533.54 / $803.21 / $1,217.79	Professional		$533.54	$803.21	$1,217.79