Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.77 / $1,220.77 / $1,220.77	Facility		$1,220.77	$1,220.77	$1,220.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.01 / $1,220.77 / $1,220.77	Professional		$866.01	$1,220.77	$1,220.77
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 $1,896.05 / $2,509.48 / $2,788.31	Professional		$1,896.05	$2,509.48	$2,788.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,090.19 / $2,090.19 / $2,166.04	Facility		$2,090.19	$2,090.19	$2,166.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,166.04 / $2,166.04 / $2,166.04	Professional		$2,166.04	$2,166.04	$2,166.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,757.06	Facility		$1,306.07	$1,306.07	$1,757.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $1,715.88	Professional		$953.43	$1,306.07	$1,715.88
United Facility/Professional Professional Modifier Low / Median / High Price $695.18 / $1,033.47 / $1,405.76	Professional		$695.18	$1,033.47	$1,405.76