Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,981.07	Facility		$2,818.38	$2,818.38	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,818.38	Professional		$1,230.27	$1,548.82	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,818.38	Facility		$2,089.30	$2,089.30	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,570.40	Facility		$1,445.44	$1,819.70	$2,570.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,819.70	Professional		$1,174.90	$1,174.90	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $3,467.37	Facility		$1,174.90	$2,344.23	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $3,019.95	Professional		$1,023.29	$1,778.28	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Facility		$1,659.59	$1,659.59	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,819.70	Professional		$758.58	$1,230.27	$1,819.70