Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.33 / $1,547.33 / $1,547.33	Facility		$1,547.33	$1,547.33	$1,547.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.17 / $1,547.33 / $1,547.33	Professional		$894.17	$1,547.33	$1,547.33
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 $2,403.26 / $3,180.79 / $3,534.21	Professional		$2,403.26	$3,180.79	$3,534.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,087.90 / $2,087.90 / $2,378.91	Facility		$2,087.90	$2,087.90	$2,378.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,378.91 / $2,378.91 / $2,378.91	Professional		$2,378.91	$2,378.91	$2,378.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $2,227.09	Facility		$1,606.19	$1,606.19	$2,227.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,606.19 / $2,174.90	Professional		$1,172.52	$1,606.19	$2,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $694.42 / $1,376.45 / $1,670.32	Professional		$694.42	$1,376.45	$1,670.32