Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.79 / $1,496.79 / $1,496.79	Facility		$1,496.79	$1,496.79	$1,496.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.57 / $1,496.79 / $1,496.79	Professional		$1,461.57	$1,496.79	$1,496.79
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 $750.39 / $993.17 / $1,103.52	Professional		$750.39	$993.17	$1,103.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $843.92 / $843.92 / $869.35	Facility		$843.92	$843.92	$869.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $843.92 / $843.92 / $843.92	Professional		$843.92	$843.92	$843.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $695.38	Facility		$482.77	$482.77	$695.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $482.77	Professional		$410.35	$410.35	$482.77
United Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $433.65 / $611.30	Professional		$256.95	$433.65	$611.30