Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,467.37	Facility		$2,511.89	$2,511.89	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,511.89	Professional		$1,202.26	$1,621.81	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,090.30	Facility		$2,290.87	$2,290.87	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $3,019.95	Professional		$2,041.74	$3,019.95	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,818.38	Facility		$1,584.89	$1,995.26	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,995.26	Professional		$1,288.25	$1,288.25	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,584.89 / $3,715.35	Facility		$616.60	$1,584.89	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,019.95	Professional		$1,737.80	$2,137.96	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,995.26	Facility		$1,819.70	$1,819.70	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,995.26	Professional		$831.76	$1,202.26	$1,995.26