Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.24 / $1,096.24 / $1,096.24	Facility		$1,096.24	$1,096.24	$1,096.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.48 / $1,096.24 / $1,096.24	Professional		$818.48	$1,096.24	$1,096.24
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 $1,702.64 / $2,253.48 / $2,503.88	Professional		$1,702.64	$2,253.48	$2,503.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.44 / $1,938.44 / $2,005.61	Facility		$1,938.44	$1,938.44	$2,005.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,938.44 / $1,938.44 / $1,938.44	Professional		$1,938.44	$1,938.44	$1,938.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,577.83	Facility		$1,576.65	$1,576.65	$1,577.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,540.85 / $1,576.65	Professional		$1,150.95	$1,540.85	$1,576.65
United Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $983.95 / $1,410.27	Professional		$624.00	$983.95	$1,410.27