Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.47 / $1,031.47 / $1,031.47	Facility		$1,031.47	$1,031.47	$1,031.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.85 / $1,031.47 / $1,031.47	Professional		$917.85	$1,031.47	$1,031.47
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 $1,602.04 / $2,120.35 / $2,355.94	Professional		$1,602.04	$2,120.35	$2,355.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,928.36 / $1,928.36 / $2,143.16	Facility		$1,928.36	$1,928.36	$2,143.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,928.36 / $1,928.36 / $1,928.36	Professional		$1,928.36	$1,928.36	$1,928.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,484.60	Facility		$1,132.82	$1,132.82	$1,484.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $1,394.62	Professional		$826.96	$826.96	$1,394.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $602.96 / $925.82 / $1,393.73	Professional		$602.96	$925.82	$1,393.73