Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.07 / $1,208.07 / $1,208.07	Facility		$1,208.07	$1,208.07	$1,208.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.72 / $1,208.07 / $1,208.07	Professional		$699.72	$1,208.07	$1,208.07
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 $1,876.34 / $2,483.39 / $2,759.32	Professional		$1,876.34	$2,483.39	$2,759.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,630.12 / $1,630.12 / $1,633.84	Facility		$1,630.12	$1,630.12	$1,633.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,630.12 / $1,630.12 / $1,630.12	Professional		$1,630.12	$1,630.12	$1,630.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $1,738.79	Facility		$1,018.60	$1,018.60	$1,738.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $1,633.39	Professional		$743.58	$743.58	$1,633.39
United Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $1,074.66 / $1,306.71	Professional		$542.16	$1,074.66	$1,306.71