Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.45 / $1,215.45 / $1,215.45	Facility		$1,215.45	$1,215.45	$1,215.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.08 / $1,215.45 / $1,215.45	Professional		$906.08	$1,215.45	$1,215.45
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 $1,887.80 / $2,498.56 / $2,776.18	Professional		$1,887.80	$2,498.56	$2,776.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,123.00 / $2,123.00 / $2,186.92	Facility		$2,123.00	$2,123.00	$2,186.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,123.00 / $2,123.00 / $2,123.00	Professional		$2,123.00	$2,123.00	$2,123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,749.42	Facility		$1,540.39	$1,540.39	$1,749.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $1,708.42	Professional		$1,124.48	$1,540.39	$1,708.42
United Facility/Professional Professional Modifier Low / Median / High Price $646.26 / $985.03 / $1,317.64	Professional		$646.26	$985.03	$1,317.64