Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,295.27 / $2,295.27 / $2,295.27	Facility		$2,295.27	$2,295.27	$2,295.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.69 / $2,295.27 / $2,295.27	Professional		$1,768.69	$2,295.27	$2,295.27
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 $3,564.93 / $4,718.30 / $5,242.55	Professional		$3,564.93	$4,718.30	$5,242.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,129.89 / $4,129.89 / $4,289.72	Facility		$4,129.89	$4,129.89	$4,289.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,289.72 / $4,289.72 / $4,289.72	Professional		$4,289.72	$4,289.72	$4,289.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $3,303.62	Facility		$2,550.04	$2,550.04	$3,303.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $3,226.18	Professional		$1,861.53	$2,550.04	$3,226.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,625.10 / $4,625.10 / $5,441.30	Facility		$4,625.10	$4,625.10	$5,441.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,357.30 / $2,060.17 / $3,137.34	Professional		$1,357.30	$2,060.17	$3,137.34