Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,678.70 / $3,678.70 / $5,080.10	Facility		$3,678.70	$3,678.70	$5,080.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,481.66 / $3,678.70 / $3,678.70	Professional		$2,481.66	$3,678.70	$3,678.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,977.99 / $4,379.39 / $4,379.39	Professional		$2,977.99	$4,379.39	$4,379.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $3,065.58 / $3,503.52	Facility		$2,919.60	$3,065.58	$3,503.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,897.74 / $1,897.74 / $2,919.60	Professional		$1,897.74	$1,897.74	$2,919.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $3,766.28 / $5,473.53	Facility		$1,897.74	$3,766.28	$5,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,510.85 / $3,354.80 / $4,388.96	Professional		$2,510.85	$3,354.80	$4,388.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,627.64 / $2,627.64 / $2,627.64	Facility		$2,627.64	$2,627.64	$2,627.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $2,919.60	Professional		$1,226.23	$1,751.76	$2,919.60