Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,845.41 / $2,845.41 / $2,845.41	Facility		$2,845.41	$2,845.41	$2,845.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,162.89 / $2,845.41 / $2,845.41	Professional		$2,162.89	$2,845.41	$2,845.41
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 $4,419.39 / $5,849.19 / $6,499.10	Professional		$4,419.39	$5,849.19	$6,499.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,970.12 / $4,970.12 / $5,119.81	Facility		$4,970.12	$4,970.12	$5,119.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,970.12 / $4,970.12 / $4,970.12	Professional		$4,970.12	$4,970.12	$4,970.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $4,095.43	Facility		$3,294.10	$3,294.10	$4,095.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $3,294.10 / $3,999.45	Professional		$2,404.69	$3,294.10	$3,999.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.96 / $2,553.96 / $3,420.58	Professional		$1,512.96	$2,553.96	$3,420.58