Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.45 / $1,161.45 / $1,161.45	Facility		$1,161.45	$1,161.45	$1,161.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.32 / $1,161.45 / $1,161.45	Professional		$802.32	$1,161.45	$1,161.45
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 $1,803.92 / $2,387.54 / $2,652.82	Professional		$1,803.92	$2,387.54	$2,652.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,936.46 / $1,936.46 / $2,132.19	Facility		$1,936.46	$1,936.46	$2,132.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,132.19 / $2,132.19 / $2,132.19	Professional		$2,132.19	$2,132.19	$2,132.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $1,671.69	Facility		$1,399.15	$1,399.15	$1,671.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,399.15 / $1,632.50	Professional		$1,021.38	$1,399.15	$1,632.50
United Facility/Professional Professional Modifier Low / Median / High Price $644.04 / $966.08 / $1,532.20	Professional		$644.04	$966.08	$1,532.20