Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.04 / $1,136.04 / $1,136.04	Facility		$1,136.04	$1,136.04	$1,136.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.33 / $1,136.04 / $1,136.04	Professional		$875.33	$1,136.04	$1,136.04
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 $1,764.46 / $2,335.31 / $2,594.79	Professional		$1,764.46	$2,335.31	$2,594.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,043.89 / $2,043.89 / $2,236.17	Facility		$2,043.89	$2,043.89	$2,236.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,236.17 / $2,236.17 / $2,236.17	Professional		$2,236.17	$2,236.17	$2,236.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,635.11	Facility		$1,367.82	$1,367.82	$1,635.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $1,596.79	Professional		$998.51	$1,367.82	$1,596.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.44 / $1,347.44 / $1,635.11	Facility		$1,347.44	$1,347.44	$1,635.11
United Facility/Professional Professional Modifier Low / Median / High Price $679.78 / $1,019.68 / $1,536.34	Professional		$679.78	$1,019.68	$1,536.34