Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.48 / $979.48 / $979.48	Facility		$979.48	$979.48	$979.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.63 / $979.48 / $979.48	Professional		$912.63	$979.48	$979.48
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 $1,521.28 / $2,013.46 / $2,237.17	Professional		$1,521.28	$2,013.46	$2,237.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,893.11 / $1,893.11 / $2,130.98	Facility		$1,893.11	$1,893.11	$2,130.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,893.11 / $1,893.11 / $1,893.11	Professional		$1,893.11	$1,893.11	$1,893.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.77 / $1,498.90 / $1,498.90	Facility		$1,409.77	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.45 / $1,376.73 / $1,498.90	Professional		$1,059.45	$1,376.73	$1,498.90
United Facility/Professional Professional Modifier Low / Median / High Price $586.10 / $879.14 / $1,354.74	Professional		$586.10	$879.14	$1,354.74