Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,763.85 / $3,763.85 / $3,763.85	Facility		$3,763.85	$3,763.85	$3,763.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,667.03 / $3,763.85 / $3,763.85	Professional		$2,667.03	$3,763.85	$3,763.85
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 $5,845.86 / $7,737.17 / $8,596.86	Professional		$5,845.86	$7,737.17	$8,596.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,227.51 / $6,227.51 / $6,227.51	Facility		$6,227.51	$6,227.51	$6,227.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,227.51 / $6,227.51 / $6,227.51	Professional		$6,227.51	$6,227.51	$6,227.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $5,417.34	Facility		$4,366.38	$4,366.38	$5,417.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $4,366.38 / $5,290.38	Professional		$3,187.46	$4,366.38	$5,290.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,071.23 / $3,378.32 / $4,787.54	Professional		$2,071.23	$3,378.32	$4,787.54