Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.95 / $1,714.95 / $1,714.95	Facility		$1,714.95	$1,714.95	$1,714.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.10 / $1,714.95 / $1,714.95	Professional		$1,253.10	$1,714.95	$1,714.95
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 $2,663.59 / $3,525.34 / $3,917.04	Professional		$2,663.59	$3,525.34	$3,917.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,942.58 / $2,942.58 / $3,024.50	Facility		$2,942.58	$2,942.58	$3,024.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,942.58 / $2,942.58 / $2,942.58	Professional		$2,942.58	$2,942.58	$2,942.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $2,468.34	Facility		$1,815.81	$1,815.81	$2,468.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $2,410.48	Professional		$1,325.54	$1,815.81	$2,410.48
United Facility/Professional Professional Modifier Low / Median / High Price $966.50 / $1,436.81 / $1,854.98	Professional		$966.50	$1,436.81	$1,854.98