Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.14 / $1,535.14 / $1,535.14	Facility		$1,535.14	$1,535.14	$1,535.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.44 / $1,535.14 / $1,535.14	Professional		$976.44	$1,535.14	$1,535.14
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 $2,384.32 / $3,155.72 / $3,506.35	Professional		$2,384.32	$3,155.72	$3,506.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,280.00 / $2,280.00 / $2,280.00	Facility		$2,280.00	$2,280.00	$2,280.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $2,280.00 / $2,280.00	Professional		$2,280.00	$2,280.00	$2,280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $2,209.54	Facility		$1,424.68	$1,424.68	$2,209.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $2,075.61	Professional		$1,040.02	$1,040.02	$2,075.61
United Facility/Professional Professional Modifier Low / Median / High Price $758.31 / $1,377.89 / $1,752.80	Professional		$758.31	$1,377.89	$1,752.80