Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.77 / $1,116.77 / $1,116.77	Facility		$1,116.77	$1,116.77	$1,116.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.04 / $1,116.77 / $1,116.77	Professional		$800.04	$1,116.77	$1,116.77
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 $1,734.52 / $2,295.67 / $2,550.76	Professional		$1,734.52	$2,295.67	$2,550.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,868.10 / $1,868.10 / $1,868.10	Facility		$1,868.10	$1,868.10	$1,868.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,868.10 / $1,868.10 / $1,868.10	Professional		$1,868.10	$1,868.10	$1,868.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,607.37	Facility		$1,167.30	$1,167.30	$1,607.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $1,569.70	Professional		$852.13	$1,167.30	$1,569.70
United Facility/Professional Professional Modifier Low / Median / High Price $621.32 / $1,002.38 / $1,404.20	Professional		$621.32	$1,002.38	$1,404.20