Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,762.46 / $2,762.46 / $2,762.46	Facility		$2,762.46	$2,762.46	$2,762.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,805.09 / $2,762.46 / $2,762.46	Professional		$1,805.09	$2,762.46	$2,762.46
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 $4,290.56 / $5,678.69 / $6,309.65	Professional		$4,290.56	$5,678.69	$6,309.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,214.88 / $4,214.88 / $4,214.88	Facility		$4,214.88	$4,214.88	$4,214.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,214.88 / $4,214.88 / $4,214.88	Professional		$4,214.88	$4,214.88	$4,214.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,976.06	Facility		$3,249.00	$3,249.00	$3,976.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $3,882.86	Professional		$2,371.77	$3,249.00	$3,882.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.84 / $2,479.51 / $3,240.28	Professional		$1,401.84	$2,479.51	$3,240.28