Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.87 / $638.87 / $638.87	Facility		$638.87	$638.87	$638.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.31 / $638.87 / $638.87	Professional		$492.31	$638.87	$638.87
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 $992.26 / $1,313.29 / $1,459.21	Professional		$992.26	$1,313.29	$1,459.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,149.56 / $1,149.56 / $1,292.60	Facility		$1,149.56	$1,149.56	$1,292.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,292.60 / $1,292.60 / $1,292.60	Professional		$1,292.60	$1,292.60	$1,292.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $919.53	Facility		$895.43	$895.43	$919.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $895.43 / $897.98	Professional		$653.66	$895.43	$897.98
United Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $573.42 / $838.07	Professional		$370.82	$573.42	$838.07