Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.15 / $1,138.15 / $1,138.15	Facility		$1,138.15	$1,138.15	$1,138.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.35 / $1,138.15 / $1,138.15	Professional		$748.35	$1,138.15	$1,138.15
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 $1,767.73 / $2,339.65 / $2,599.61	Professional		$1,767.73	$2,339.65	$2,599.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,747.40 / $1,747.40 / $1,747.40	Facility		$1,747.40	$1,747.40	$1,747.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,747.40 / $1,747.40 / $1,747.40	Professional		$1,747.40	$1,747.40	$1,747.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,638.15	Facility		$1,375.24	$1,375.24	$1,638.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $1,599.76	Professional		$1,003.93	$1,375.24	$1,599.76
United Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $1,021.57 / $1,343.35	Professional		$581.16	$1,021.57	$1,343.35