Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,896.38 / $1,896.38 / $1,896.38	Facility		$1,896.38	$1,896.38	$1,896.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.96 / $1,896.38 / $1,896.38	Professional		$1,236.96	$1,896.38	$1,896.38
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 $2,945.38 / $3,898.30 / $4,331.43	Professional		$2,945.38	$3,898.30	$4,331.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,869.45 / $2,869.45 / $2,888.29	Facility		$2,869.45	$2,869.45	$2,888.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,869.45 / $2,869.45 / $2,869.45	Professional		$2,869.45	$2,869.45	$2,869.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $2,729.48	Facility		$1,743.07	$1,743.07	$2,729.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $2,564.02	Professional		$1,272.44	$1,272.44	$2,564.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.76 / $1,631.09 / $2,144.53	Professional		$1,134.76	$1,631.09	$2,144.53