Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.44 / $2,906.44 / $2,906.44	Facility		$2,906.44	$2,906.44	$2,906.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.35 / $2,906.44 / $2,906.44	Professional		$1,963.35	$2,906.44	$2,906.44
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 $4,514.18 / $5,974.65 / $6,638.50	Professional		$4,514.18	$5,974.65	$6,638.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,584.43 / $4,584.43 / $4,584.43	Facility		$4,584.43	$4,584.43	$4,584.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,584.43 / $4,584.43 / $4,584.43	Professional		$4,584.43	$4,584.43	$4,584.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $4,183.28	Facility		$3,670.30	$3,670.30	$4,183.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,670.30 / $4,085.23	Professional		$2,679.32	$3,670.30	$4,085.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,739.16 / $2,608.73 / $3,627.36	Professional		$1,739.16	$2,608.73	$3,627.36