Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.99 / $1,281.99 / $1,281.99	Facility		$1,281.99	$1,281.99	$1,281.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.61 / $1,281.99 / $1,281.99	Professional		$892.61	$1,281.99	$1,281.99
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 $1,991.14 / $2,635.34 / $2,928.15	Professional		$1,991.14	$2,635.34	$2,928.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,051.13 / $2,051.13 / $2,109.21	Facility		$2,051.13	$2,051.13	$2,109.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,051.13 / $2,051.13 / $2,051.13	Professional		$2,051.13	$2,051.13	$2,051.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $1,845.18	Facility		$1,637.27	$1,637.27	$1,845.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,637.27 / $1,801.94	Professional		$1,195.21	$1,637.27	$1,801.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $682.19 / $1,150.67 / $1,576.86	Professional		$682.19	$1,150.67	$1,576.86