Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,648.95 / $2,648.95 / $2,648.95	Professional		$2,648.95	$2,648.95	$2,648.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149,999.85 / $399,999.60 / $999,999.00	Facility		$149,999.85	$399,999.60	$999,999.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,367.39 / $5,780.39 / $6,422.65	Professional		$4,367.39	$5,780.39	$6,422.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $505.91 / $505.91 / $533.22	Facility		$505.91	$505.91	$533.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.22 / $533.22 / $533.22	Professional		$533.22	$533.22	$533.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $3,655.97	Facility		$3,655.97	$3,655.97	$3,655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.57 / $3,655.97 / $3,655.97	Professional		$408.57	$3,655.97	$3,655.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,826.76 / $4,826.76 / $4,826.76	Professional		$4,826.76	$4,826.76	$4,826.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.79 / $1,682.64 / $3,041.60	Professional		$1,166.79	$1,682.64	$3,041.60