Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.34 / $1,389.34 / $1,389.34	Facility		$1,389.34	$1,389.34	$1,389.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.37 / $1,389.34 / $1,389.34	Professional		$975.37	$1,389.34	$1,389.34
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 $2,157.88 / $2,856.02 / $3,173.35	Professional		$2,157.88	$2,856.02	$3,173.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,277.50 / $2,277.50 / $2,493.06	Facility		$2,277.50	$2,277.50	$2,493.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,493.06 / $2,493.06 / $2,493.06	Professional		$2,493.06	$2,493.06	$2,493.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $1,999.70	Facility		$1,654.54	$1,654.54	$1,999.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $1,952.83	Professional		$1,207.81	$1,654.54	$1,952.83
United Facility/Professional Professional Modifier Low / Median / High Price $757.48 / $1,247.03 / $1,750.88	Professional		$757.48	$1,247.03	$1,750.88