Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.43 / $1,481.43 / $1,481.43	Facility		$1,481.43	$1,481.43	$1,481.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.48 / $1,481.43 / $1,481.43	Professional		$1,083.48	$1,481.43	$1,481.43
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 $2,300.90 / $3,045.31 / $3,383.68	Professional		$2,300.90	$3,045.31	$3,383.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,529.92 / $2,529.92 / $2,905.57	Facility		$2,529.92	$2,529.92	$2,905.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,905.57 / $2,905.57 / $2,905.57	Professional		$2,905.57	$2,905.57	$2,905.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $2,132.23	Facility		$1,523.27	$1,523.27	$2,132.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $2,082.26	Professional		$1,111.99	$1,523.27	$2,082.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $810.79 / $1,329.69 / $1,874.10	Professional		$810.79	$1,329.69	$1,874.10