Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.41 / $1,794.41 / $1,794.41	Facility		$1,794.41	$1,794.41	$1,794.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.93 / $1,794.41 / $1,801.38	Professional		$1,404.93	$1,794.41	$1,801.38
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 $2,787.01 / $3,688.69 / $4,098.54	Professional		$2,787.01	$3,688.69	$4,098.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,228.39 / $3,228.39 / $3,931.19	Facility		$3,228.39	$3,228.39	$3,931.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,228.39 / $3,228.39 / $3,228.39	Professional		$3,228.39	$3,228.39	$3,228.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,582.71	Facility		$2,017.28	$2,017.28	$2,582.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $2,522.17	Professional		$1,472.61	$2,017.28	$2,522.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.74 / $1,538.80 / $2,043.79	Professional		$1,073.74	$1,538.80	$2,043.79