Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,973.03 / $1,973.03 / $1,973.03	Facility		$1,973.03	$1,973.03	$1,973.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.68 / $1,973.03 / $1,973.03	Professional		$1,403.68	$1,973.03	$1,973.03
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 $3,064.44 / $4,055.88 / $4,506.53	Professional		$3,064.44	$4,055.88	$4,506.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,327.38 / $3,327.38 / $3,534.53	Facility		$3,327.38	$3,327.38	$3,534.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,534.53 / $3,534.53 / $3,534.53	Professional		$3,534.53	$3,534.53	$3,534.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,839.81	Facility		$2,425.11	$2,425.11	$2,839.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $2,773.25	Professional		$1,770.33	$2,425.11	$2,773.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.24 / $1,770.94 / $2,373.58	Professional		$1,050.24	$1,770.94	$2,373.58