Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.65 / $1,024.65 / $1,024.65	Facility		$1,024.65	$1,024.65	$1,024.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.04 / $1,024.65 / $1,024.65	Professional		$646.04	$1,024.65	$1,024.65
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 $1,591.46 / $2,106.34 / $2,340.38	Professional		$1,591.46	$2,106.34	$2,340.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,484.52 / $1,484.52 / $1,692.17	Facility		$1,484.52	$1,484.52	$1,692.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,484.52 / $1,484.52 / $1,484.52	Professional		$1,484.52	$1,484.52	$1,484.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,474.80	Facility		$1,149.77	$1,149.77	$1,474.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $1,149.77 / $1,440.23	Professional		$839.33	$1,149.77	$1,440.23
United Facility/Professional Professional Modifier Low / Median / High Price $493.74 / $830.40 / $1,108.31	Professional		$493.74	$830.40	$1,108.31