Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.00 / $1,742.00 / $1,742.00	Facility		$1,742.00	$1,742.00	$1,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,361.29 / $1,742.00 / $1,742.00	Professional		$1,361.29	$1,742.00	$1,742.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,705.62 / $3,580.97 / $3,978.85	Professional		$2,705.62	$3,580.97	$3,978.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,271.41 / $3,019.67 / $3,253.77	Facility		$1,271.41	$3,019.67	$3,253.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,301.50 / $3,091.12 / $3,253.77	Professional		$1,301.50	$3,091.12	$3,253.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $2,507.29	Facility		$1,808.29	$1,808.29	$2,507.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $2,355.30	Professional		$1,537.05	$1,537.05	$2,355.30
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $1,563.57 / $2,224.76	Professional		$962.50	$1,563.57	$2,224.76