Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.11 / $1,074.11 / $1,074.11	Facility		$1,074.11	$1,074.11	$1,074.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.69 / $1,074.11 / $1,074.11	Professional		$748.69	$1,074.11	$1,074.11
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 $1,668.28 / $2,208.02 / $2,453.35	Professional		$1,668.28	$2,208.02	$2,453.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,720.43 / $1,720.43 / $1,948.84	Facility		$1,720.43	$1,720.43	$1,948.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,720.43 / $1,720.43 / $1,720.43	Professional		$1,720.43	$1,720.43	$1,720.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,545.98	Facility		$1,212.63	$1,212.63	$1,545.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,212.63 / $1,509.75	Professional		$885.22	$1,212.63	$1,509.75
United Facility/Professional Professional Modifier Low / Median / High Price $572.20 / $891.38 / $1,161.82	Professional		$572.20	$891.38	$1,161.82