Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.42 / $1,218.42 / $1,218.42	Facility		$1,218.42	$1,218.42	$1,218.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.94 / $1,218.42 / $1,218.42	Professional		$793.94	$1,218.42	$1,218.42
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 $1,892.41 / $2,504.66 / $2,782.96	Professional		$1,892.41	$2,504.66	$2,782.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,824.39 / $1,824.39 / $2,003.06	Facility		$1,824.39	$1,824.39	$2,003.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,824.39 / $1,824.39 / $1,824.39	Professional		$1,824.39	$1,824.39	$1,824.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,753.70	Facility		$1,573.58	$1,573.58	$1,753.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $1,712.59	Professional		$1,148.71	$1,573.58	$1,712.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $606.78 / $1,093.61 / $1,402.54	Professional		$606.78	$1,093.61	$1,402.54