Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.71 / $1,153.71 / $1,153.71	Facility		$1,153.71	$1,153.71	$1,153.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.07 / $1,153.71 / $1,153.71	Professional		$860.07	$1,153.71	$1,153.71
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 $1,791.92 / $2,371.65 / $2,635.17	Professional		$1,791.92	$2,371.65	$2,635.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,015.23 / $2,015.23 / $2,075.85	Facility		$2,015.23	$2,015.23	$2,075.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,015.23 / $2,015.23 / $2,015.23	Professional		$2,015.23	$2,015.23	$2,015.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,660.56	Facility		$1,335.63	$1,335.63	$1,660.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $1,335.63 / $1,621.64	Professional		$975.01	$1,335.63	$1,621.64
United Facility/Professional Professional Modifier Low / Median / High Price $613.45 / $942.58 / $1,250.72	Professional		$613.45	$942.58	$1,250.72