Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.96 / $1,042.96 / $1,042.96	Facility		$1,042.96	$1,042.96	$1,042.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,042.96 / $1,073.14	Professional		$798.08	$1,042.96	$1,073.14
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 $1,619.90 / $2,143.98 / $2,382.19	Professional		$1,619.90	$2,143.98	$2,382.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,926.24 / $1,926.24 / $2,020.79	Facility		$1,926.24	$1,926.24	$2,020.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,020.79 / $2,020.79 / $2,020.79	Professional		$2,020.79	$2,020.79	$2,020.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,501.15	Facility		$1,172.51	$1,172.51	$1,501.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $1,465.97	Professional		$855.93	$1,172.51	$1,465.97
United Facility/Professional Professional Modifier Low / Median / High Price $624.09 / $894.40 / $1,484.71	Professional		$624.09	$894.40	$1,484.71