Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.20 / $1,381.20 / $1,381.20	Facility		$1,381.20	$1,381.20	$1,381.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.43 / $1,381.20 / $1,381.20	Professional		$876.43	$1,381.20	$1,381.20
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 $2,145.23 / $2,839.28 / $3,154.76	Professional		$2,145.23	$2,839.28	$3,154.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,013.95 / $2,013.95 / $2,290.73	Facility		$2,013.95	$2,013.95	$2,290.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,013.95 / $2,013.95 / $2,013.95	Professional		$2,013.95	$2,013.95	$2,013.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,987.98	Facility		$1,544.16	$1,544.16	$1,987.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,544.16 / $1,941.39	Professional		$1,127.24	$1,544.16	$1,941.39
United Facility/Professional Professional Modifier Low / Median / High Price $669.82 / $1,119.36 / $1,493.99	Professional		$669.82	$1,119.36	$1,493.99