Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.57 / $639.57 / $639.57	Facility		$639.57	$639.57	$639.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $639.57 / $639.57	Professional		$369.60	$639.57	$639.57
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 $993.35 / $1,314.73 / $1,460.81	Professional		$993.35	$1,314.73	$1,460.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $863.00 / $863.00	Facility		$863.00	$863.00	$863.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $863.00 / $863.00	Professional		$863.00	$863.00	$863.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $920.53	Facility		$582.20	$582.20	$920.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $582.20 / $898.96	Professional		$425.01	$582.20	$898.96
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $568.94 / $691.78	Professional		$287.02	$568.94	$691.78