Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.65 / $1,016.65 / $1,016.65	Facility		$1,016.65	$1,016.65	$1,016.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.20 / $1,016.65 / $1,016.65	Professional		$723.20	$1,016.65	$1,016.65
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 $1,579.03 / $2,089.90 / $2,322.11	Professional		$1,579.03	$2,089.90	$2,322.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,651.91 / $1,651.91 / $1,816.54	Facility		$1,651.91	$1,651.91	$1,816.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,651.91 / $1,651.91 / $1,651.91	Professional		$1,651.91	$1,651.91	$1,651.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,463.29	Facility		$1,324.18	$1,324.18	$1,463.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,324.18 / $1,428.99	Professional		$966.65	$1,324.18	$1,428.99
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.41 / $912.52 / $1,241.69	Professional		$549.41	$912.52	$1,241.69