Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,613.06 / $2,613.06 / $2,613.06	Facility		$2,613.06	$2,613.06	$2,613.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,013.39 / $2,613.06 / $2,727.85	Professional		$2,013.39	$2,613.06	$2,727.85
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 $4,058.51 / $5,371.55 / $5,968.39	Professional		$4,058.51	$5,371.55	$5,968.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,701.26 / $4,701.26 / $4,701.26	Facility		$4,701.26	$4,701.26	$4,701.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,701.26 / $4,701.26 / $4,701.26	Professional		$4,701.26	$4,701.26	$4,701.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,761.01 / $3,798.08 / $3,798.08	Facility		$3,761.01	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $3,672.86 / $3,798.08	Professional		$2,772.60	$3,672.86	$3,798.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.60 / $2,345.41 / $3,614.20	Professional		$1,563.60	$2,345.41	$3,614.20