Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.28 / $895.28 / $895.28	Facility		$895.28	$895.28	$895.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.36 / $895.28 / $920.84	Professional		$667.36	$895.28	$920.84
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 $1,390.50 / $1,840.37 / $2,044.86	Professional		$1,390.50	$1,840.37	$2,044.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,610.72 / $1,610.72 / $2,052.80	Facility		$1,610.72	$1,610.72	$2,052.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,052.80 / $2,052.80 / $2,052.80	Professional		$2,052.80	$2,052.80	$2,052.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,288.58	Facility		$1,006.48	$1,006.48	$1,288.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,210.47	Professional		$734.73	$734.73	$1,210.47
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.72 / $770.03 / $1,083.29	Professional		$535.72	$770.03	$1,083.29