Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.83 / $744.83 / $744.83	Facility		$744.83	$744.83	$744.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.16 / $744.83 / $766.41	Professional		$583.16	$744.83	$766.41
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 $1,156.85 / $1,531.13 / $1,701.26	Professional		$1,156.85	$1,531.13	$1,701.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,400.87 / $1,400.87 / $1,672.54	Facility		$1,400.87	$1,400.87	$1,672.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,400.87 / $1,400.87 / $1,400.87	Professional		$1,400.87	$1,400.87	$1,400.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $1,072.05	Facility		$837.35	$837.35	$1,072.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $1,046.93	Professional		$611.27	$837.35	$1,046.93
United Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $662.58 / $1,072.05	Facility		$662.58	$662.58	$1,072.05
United Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $623.41 / $848.24	Professional		$445.70	$623.41	$848.24