Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.62 / $1,342.62 / $1,342.62	Facility		$1,342.62	$1,342.62	$1,342.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.87 / $1,342.62 / $1,342.62	Professional		$775.87	$1,342.62	$1,342.62
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 $2,085.30 / $2,759.96 / $3,066.62	Professional		$2,085.30	$2,759.96	$3,066.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,811.66 / $1,811.66 / $1,811.66	Facility		$1,811.66	$1,811.66	$1,811.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,811.66 / $1,811.66 / $1,811.66	Professional		$1,811.66	$1,811.66	$1,811.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,932.44	Facility		$1,349.13	$1,349.13	$1,932.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $1,815.30	Professional		$984.86	$984.86	$1,815.30
United Facility/Professional Professional Modifier Low / Median / High Price $602.54 / $1,205.08 / $1,449.33	Professional		$602.54	$1,205.08	$1,449.33