Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.62 / $1,004.62 / $1,004.62	Facility		$1,004.62	$1,004.62	$1,004.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.04 / $1,004.62 / $1,004.62	Professional		$760.04	$1,004.62	$1,004.62
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 $1,560.35 / $2,065.17 / $2,294.63	Professional		$1,560.35	$2,065.17	$2,294.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,774.70 / $1,774.70 / $1,774.70	Facility		$1,774.70	$1,774.70	$1,774.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,774.70 / $1,774.70 / $1,774.70	Professional		$1,774.70	$1,774.70	$1,774.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.97 / $1,530.70 / $1,530.70	Facility		$1,445.97	$1,530.70	$1,530.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.64 / $1,117.41 / $1,530.70	Professional		$1,086.64	$1,117.41	$1,530.70
United Facility/Professional Professional Modifier Low / Median / High Price $590.25 / $901.72 / $1,364.34	Professional		$590.25	$901.72	$1,364.34