Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.11 / $1,547.11 / $1,547.11	Facility		$1,547.11	$1,547.11	$1,547.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.48 / $1,547.11 / $1,547.11	Professional		$908.48	$1,547.11	$1,547.11
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 $2,402.92 / $3,180.33 / $3,533.70	Professional		$2,402.92	$3,180.33	$3,533.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,087.60 / $2,087.60 / $2,131.96	Facility		$2,087.60	$2,087.60	$2,131.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,087.60 / $2,087.60 / $2,087.60	Professional		$2,087.60	$2,087.60	$2,087.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,226.77	Facility		$1,620.00	$1,620.00	$2,226.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $2,174.58	Professional		$1,182.59	$1,620.00	$2,174.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.94 / $2,365.94 / $2,783.46	Facility		$2,365.94	$2,365.94	$2,783.46
United Facility/Professional Professional Modifier Low / Median / High Price $694.32 / $1,376.26 / $1,673.44	Professional		$694.32	$1,376.26	$1,673.44