Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.14 / $1,382.14 / $1,382.14	Facility		$1,382.14	$1,382.14	$1,382.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.65 / $1,382.14 / $1,382.14	Professional		$947.65	$1,382.14	$1,382.14
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 $2,146.69 / $2,841.20 / $3,156.89	Professional		$2,146.69	$2,841.20	$3,156.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,287.23 / $2,287.23 / $2,310.67	Facility		$2,287.23	$2,287.23	$2,310.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,310.67 / $2,310.67 / $2,310.67	Professional		$2,310.67	$2,310.67	$2,310.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,989.33	Facility		$1,499.97	$1,499.97	$1,989.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $1,942.70	Professional		$1,094.98	$1,499.97	$1,942.70
United Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $1,130.90 / $1,495.00	Professional		$760.72	$1,130.90	$1,495.00