Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,867.06 / $1,867.06 / $1,867.06	Facility		$1,867.06	$1,867.06	$1,867.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.32 / $1,867.06 / $1,867.06	Professional		$1,247.32	$1,867.06	$1,867.06
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 $2,899.87 / $3,838.06 / $4,264.51	Professional		$2,899.87	$3,838.06	$4,264.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,912.48 / $2,912.48 / $2,912.48	Facility		$2,912.48	$2,912.48	$2,912.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,912.48 / $2,912.48 / $2,912.48	Professional		$2,912.48	$2,912.48	$2,912.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $2,687.30	Facility		$1,819.89	$1,819.89	$2,687.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $2,624.31	Professional		$1,328.52	$1,819.89	$2,624.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $968.67 / $1,675.82 / $2,239.04	Professional		$968.67	$1,675.82	$2,239.04