Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.32 / $887.32 / $887.32	Facility		$887.32	$887.32	$887.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.48 / $887.32 / $887.32	Professional		$674.48	$887.32	$887.32
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 $1,378.15 / $1,824.02 / $2,026.69	Professional		$1,378.15	$1,824.02	$2,026.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,549.90 / $1,549.90 / $1,596.58	Facility		$1,549.90	$1,549.90	$1,596.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,549.90 / $1,549.90 / $1,549.90	Professional		$1,549.90	$1,549.90	$1,549.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $1,277.13	Facility		$886.63	$886.63	$1,277.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $1,247.19	Professional		$647.24	$886.63	$1,247.19
United Facility/Professional Professional Modifier Low / Median / High Price $471.92 / $796.43 / $1,066.68	Professional		$471.92	$796.43	$1,066.68