Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.20 / $1,485.20 / $1,485.20	Facility		$1,485.20	$1,485.20	$1,485.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.65 / $1,485.20 / $1,485.20	Professional		$1,097.65	$1,485.20	$1,485.20
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 $2,306.77 / $3,053.08 / $3,392.31	Professional		$2,306.77	$3,053.08	$3,392.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,675.80 / $2,675.80 / $2,848.81	Facility		$2,675.80	$2,675.80	$2,848.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,675.80 / $2,675.80 / $2,675.80	Professional		$2,675.80	$2,675.80	$2,675.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $2,137.67	Facility		$1,960.76	$1,960.76	$2,137.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,960.76 / $2,087.58	Professional		$1,431.35	$1,960.76	$2,087.58
United Facility/Professional Professional Modifier Low / Median / High Price $888.72 / $1,333.08 / $1,888.62	Professional		$888.72	$1,333.08	$1,888.62