Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.80 / $1,223.80 / $1,223.80	Facility		$1,223.80	$1,223.80	$1,223.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.26 / $1,223.80 / $1,223.80	Professional		$930.26	$1,223.80	$1,223.80
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 $1,900.75 / $2,515.69 / $2,795.22	Professional		$1,900.75	$2,515.69	$2,795.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.66 / $2,137.66 / $2,202.00	Facility		$2,137.66	$2,137.66	$2,202.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.66 / $2,137.66 / $2,137.66	Professional		$2,137.66	$2,137.66	$2,137.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,761.42	Facility		$1,222.54	$1,222.54	$1,761.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $1,654.66	Professional		$892.45	$892.45	$1,654.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,217.37 / $2,608.67	Facility		$2,217.37	$2,217.37	$2,608.67
United Facility/Professional Professional Modifier Low / Median / High Price $650.72 / $1,098.44 / $1,471.18	Professional		$650.72	$1,098.44	$1,471.18