Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.18 / $1,285.00 / $1,285.00	Professional		$991.18	$1,285.00	$1,285.00
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 $1,995.81 / $2,641.51 / $2,935.01	Professional		$1,995.81	$2,641.51	$2,935.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,303.08 / $2,303.08 / $2,608.15	Facility		$2,303.08	$2,303.08	$2,608.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,303.08 / $2,303.08 / $2,303.08	Professional		$2,303.08	$2,303.08	$2,303.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,849.50	Facility		$1,703.99	$1,703.99	$1,849.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $1,806.16	Professional		$1,243.91	$1,703.99	$1,806.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $757.52 / $1,101.97 / $1,531.82	Professional		$757.52	$1,101.97	$1,531.82