Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.58 / $1,347.58 / $1,347.58	Facility		$1,347.58	$1,347.58	$1,347.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.34 / $1,347.58 / $1,347.58	Professional		$1,024.34	$1,347.58	$1,347.58
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 $2,093.02 / $2,770.17 / $3,077.97	Professional		$2,093.02	$2,770.17	$3,077.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,353.86 / $2,353.86 / $2,424.69	Facility		$2,353.86	$2,353.86	$2,424.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,353.86 / $2,353.86 / $2,353.86	Professional		$2,353.86	$2,353.86	$2,353.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $1,939.59	Facility		$1,346.19	$1,346.19	$1,939.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $1,894.14	Professional		$982.72	$1,346.19	$1,894.14
United Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $1,209.55 / $1,619.98	Professional		$716.54	$1,209.55	$1,619.98