Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.26 / $1,461.26 / $1,461.26	Facility		$1,461.26	$1,461.26	$1,461.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.75 / $1,461.26 / $1,461.26	Professional		$983.75	$1,461.26	$1,461.26
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 $2,269.58 / $3,003.86 / $3,337.62	Professional		$2,269.58	$3,003.86	$3,337.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,340.76 / $2,340.76 / $2,666.02	Facility		$2,340.76	$2,340.76	$2,666.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,340.76 / $2,340.76 / $2,340.76	Professional		$2,340.76	$2,340.76	$2,340.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $2,103.21	Facility		$1,747.16	$1,747.16	$2,103.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,747.16 / $2,053.92	Professional		$1,275.43	$1,747.16	$2,053.92
United Facility/Professional Professional Modifier Low / Median / High Price $751.85 / $1,311.59 / $1,737.86	Professional		$751.85	$1,311.59	$1,737.86