Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.72 / $1,161.72 / $1,161.72	Facility		$1,161.72	$1,161.72	$1,161.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.42 / $1,161.72 / $1,367.31	Professional		$926.42	$1,161.72	$1,367.31
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 $1,804.33 / $2,388.09 / $2,653.43	Professional		$1,804.33	$2,388.09	$2,653.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,029.15 / $2,029.15 / $2,090.28	Facility		$2,029.15	$2,029.15	$2,090.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,029.15 / $2,029.15 / $2,029.15	Professional		$2,029.15	$2,029.15	$2,029.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,672.07	Facility		$1,650.90	$1,650.90	$1,672.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $1,945.64	Professional		$1,403.27	$1,650.90	$1,945.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.69 / $1,224.69 / $1,672.07	Facility		$1,224.69	$1,224.69	$1,672.07
United Facility/Professional Professional Modifier Low / Median / High Price $617.85 / $1,235.70 / $2,162.13	Professional		$617.85	$1,235.70	$2,162.13