Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.64 / $892.64 / $892.64	Facility		$892.64	$892.64	$892.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.51 / $892.64 / $892.64	Professional		$678.51	$892.64	$892.64
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 $1,386.40 / $1,834.95 / $2,038.83	Professional		$1,386.40	$1,834.95	$2,038.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,559.17 / $1,559.17 / $1,606.15	Facility		$1,559.17	$1,559.17	$1,606.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,559.17 / $1,559.17 / $1,559.17	Professional		$1,559.17	$1,559.17	$1,559.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $1,284.78	Facility		$891.71	$891.71	$1,284.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $1,254.66	Professional		$650.95	$891.71	$1,254.66
United Facility/Professional Professional Modifier Low / Median / High Price $534.14 / $801.20 / $1,206.90	Professional		$534.14	$801.20	$1,206.90