Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.01 / $1,575.01 / $1,575.01	Facility		$1,575.01	$1,575.01	$1,575.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.29 / $1,575.01 / $1,575.01	Professional		$989.29	$1,575.01	$1,575.01
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 $2,446.26 / $3,237.70 / $3,597.44	Professional		$2,446.26	$3,237.70	$3,597.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,309.98 / $2,309.98 / $2,309.98	Facility		$2,309.98	$2,309.98	$2,309.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,309.98 / $2,309.98 / $2,309.98	Professional		$2,309.98	$2,309.98	$2,309.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $2,266.94	Facility		$1,964.43	$1,964.43	$2,266.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,964.43 / $2,213.81	Professional		$1,434.03	$1,964.43	$2,213.81
United Facility/Professional Professional Modifier Low / Median / High Price $768.29 / $1,413.69 / $1,775.86	Professional		$768.29	$1,413.69	$1,775.86