Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,686.29 / $1,686.29 / $1,686.29	Facility		$1,686.29	$1,686.29	$1,686.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.65 / $1,686.29 / $1,686.29	Professional		$1,038.65	$1,686.29	$1,686.29
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 $2,619.09 / $3,466.44 / $3,851.60	Professional		$2,619.09	$3,466.44	$3,851.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,425.26 / $2,425.26 / $2,425.26	Facility		$2,425.26	$2,425.26	$2,425.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,425.26 / $2,425.26 / $2,425.26	Professional		$2,425.26	$2,425.26	$2,425.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $2,427.10	Facility		$1,769.38	$1,769.38	$2,427.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,769.38 / $2,370.21	Professional		$1,291.65	$1,769.38	$2,370.21
United Facility/Professional Professional Modifier Low / Median / High Price $806.62 / $1,513.57 / $1,864.47	Professional		$806.62	$1,513.57	$1,864.47