Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.60 / $1,163.60 / $1,163.60	Facility		$1,163.60	$1,163.60	$1,163.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.48 / $1,163.60 / $1,163.60	Professional		$884.48	$1,163.60	$1,163.60
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 $1,807.28 / $2,391.98 / $2,657.76	Professional		$1,807.28	$2,391.98	$2,657.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,032.46 / $2,032.46 / $2,093.64	Facility		$2,032.46	$2,032.46	$2,093.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,032.46 / $2,032.46 / $2,032.46	Professional		$2,032.46	$2,032.46	$2,032.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,674.80	Facility		$1,162.68	$1,162.68	$1,674.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $1,635.54	Professional		$988.28	$1,162.68	$1,635.54
United Facility/Professional Professional Modifier Low / Median / High Price $618.86 / $1,000.82 / $1,398.65	Professional		$618.86	$1,000.82	$1,398.65