Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,345.59 / $2,345.59 / $2,345.59	Facility		$2,345.59	$2,345.59	$2,345.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.80 / $2,345.59 / $2,345.59	Professional		$1,417.80	$2,345.59	$2,345.59
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 $3,643.10 / $4,821.75 / $5,357.50	Professional		$3,643.10	$4,821.75	$5,357.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,310.57 / $3,310.57 / $3,310.57	Facility		$3,310.57	$3,310.57	$3,310.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,310.57 / $3,310.57 / $3,310.57	Professional		$3,310.57	$3,310.57	$3,310.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $3,376.05	Facility		$2,482.86	$2,482.86	$3,376.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,482.86 / $3,296.92	Professional		$1,812.49	$2,482.86	$3,296.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,272.54 / $2,182.50 / $2,202.14	Facility		$1,272.54	$2,182.50	$2,202.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.07 / $2,105.34 / $2,545.08	Professional		$1,101.07	$2,105.34	$2,545.08