Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.22 / $620.22 / $620.22	Facility		$620.22	$620.22	$620.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.58 / $620.22 / $620.22	Professional		$431.58	$620.22	$620.22
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 $963.30 / $1,274.96 / $1,416.62	Professional		$963.30	$1,274.96	$1,416.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,041.67 / $1,041.67 / $1,109.85	Facility		$1,041.67	$1,041.67	$1,109.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,109.85 / $1,109.85 / $1,109.85	Professional		$1,109.85	$1,109.85	$1,109.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $892.69	Facility		$740.83	$740.83	$892.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $871.77	Professional		$540.80	$740.83	$871.77
United Facility/Professional Professional Modifier Low / Median / High Price $346.45 / $519.67 / $700.57	Professional		$346.45	$519.67	$700.57