Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,848.32 / $1,848.32 / $1,848.32	Facility		$1,848.32	$1,848.32	$1,848.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.67 / $1,848.32 / $1,848.32	Professional		$1,235.67	$1,848.32	$1,848.32
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 $2,870.74 / $3,799.50 / $4,221.67	Professional		$2,870.74	$3,799.50	$4,221.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,885.30 / $2,885.30 / $2,885.30	Facility		$2,885.30	$2,885.30	$2,885.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,885.30 / $2,885.30 / $2,885.30	Professional		$2,885.30	$2,885.30	$2,885.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $2,660.30	Facility		$2,289.62	$2,289.62	$2,660.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $2,499.04	Professional		$1,671.42	$1,671.42	$2,499.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.00 / $1,658.99 / $2,282.94	Professional		$1,106.00	$1,658.99	$2,282.94