Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.08 / $1,889.08 / $1,889.08	Facility		$1,889.08	$1,889.08	$1,889.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.39 / $1,889.08 / $1,889.08	Professional		$1,336.39	$1,889.08	$1,889.08
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 $2,934.04 / $3,883.29 / $4,314.77	Professional		$2,934.04	$3,883.29	$4,314.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,070.90 / $3,070.90 / $3,484.39	Facility		$3,070.90	$3,070.90	$3,484.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,070.90 / $3,070.90 / $3,070.90	Professional		$3,070.90	$3,070.90	$3,070.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $2,718.97	Facility		$2,571.77	$2,571.77	$2,718.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $2,655.24	Professional		$1,877.39	$2,571.77	$2,655.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.36 / $1,695.58 / $2,308.31	Professional		$1,021.36	$1,695.58	$2,308.31