Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.27 / $1,673.27 / $1,673.27	Facility		$1,673.27	$1,673.27	$1,673.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.73 / $1,673.27 / $1,673.27	Professional		$1,192.73	$1,673.27	$1,673.27
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 $2,598.88 / $3,439.69 / $3,821.88	Professional		$2,598.88	$3,439.69	$3,821.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,785.04 / $2,785.04 / $2,790.91	Facility		$2,785.04	$2,785.04	$2,790.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,790.91 / $2,790.91 / $2,790.91	Professional		$2,790.91	$2,790.91	$2,790.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $2,408.38	Facility		$2,125.02	$2,125.02	$2,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $2,125.02 / $2,351.92	Professional		$1,551.26	$2,125.02	$2,351.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.26 / $1,501.88 / $2,093.44	Professional		$1,001.26	$1,501.88	$2,093.44