Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.90 / $1,671.90 / $1,671.90	Facility		$1,671.90	$1,671.90	$1,671.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.31 / $1,671.90 / $1,671.90	Professional		$1,049.31	$1,671.90	$1,671.90
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 $2,596.73 / $3,436.85 / $3,818.72	Professional		$2,596.73	$3,436.85	$3,818.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,450.14 / $2,450.14 / $2,450.14	Facility		$2,450.14	$2,450.14	$2,450.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,450.14 / $2,450.14 / $2,450.14	Professional		$2,450.14	$2,450.14	$2,450.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $2,406.38	Facility		$1,787.17	$1,787.17	$2,406.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $2,260.52	Professional		$1,304.63	$1,304.63	$2,260.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $814.90 / $1,500.65 / $1,883.60	Professional		$814.90	$1,500.65	$1,883.60