Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.83 / $1,085.83 / $1,085.83	Facility		$1,085.83	$1,085.83	$1,085.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.89 / $1,085.83 / $1,197.58	Professional		$968.89	$1,085.83	$1,197.58
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 $1,787.71 / $2,366.09 / $2,628.99	Professional		$1,787.71	$2,366.09	$2,628.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.29 / $208.29 / $208.29	Facility		$208.29	$208.29	$208.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.29 / $208.29 / $208.29	Professional		$208.29	$208.29	$208.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.11 / $1,452.11 / $1,452.11	Facility		$1,452.11	$1,452.11	$1,452.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $1,452.11 / $1,503.13	Professional		$163.71	$1,452.11	$1,503.13
United Facility/Professional Professional Modifier Low / Median / High Price $739.12 / $1,099.99 / $1,836.06	Professional		$739.12	$1,099.99	$1,836.06