Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.66 / $1,446.66 / $1,446.66	Facility		$1,446.66	$1,446.66	$1,446.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.71 / $1,446.66 / $1,446.66	Professional		$1,013.71	$1,446.66	$1,446.66
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 $2,246.90 / $2,973.83 / $3,304.26	Professional		$2,246.90	$2,973.83	$3,304.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,446.67 / $2,446.67 / $2,641.15	Facility		$2,446.67	$2,446.67	$2,641.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,641.15 / $2,641.15 / $2,641.15	Professional		$2,641.15	$2,641.15	$2,641.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $2,082.19	Facility		$1,638.80	$1,638.80	$2,082.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $1,955.97	Professional		$1,196.32	$1,196.32	$1,955.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,203.23 / $1,203.23 / $2,082.19	Facility		$1,203.23	$1,203.23	$2,082.19
United Facility/Professional Professional Modifier Low / Median / High Price $809.37 / $1,210.83 / $1,636.67	Professional		$809.37	$1,210.83	$1,636.67