Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,540.48 / $2,540.48 / $2,540.48	Facility		$2,540.48	$2,540.48	$2,540.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.12 / $2,540.48 / $2,540.48	Professional		$1,931.12	$2,540.48	$2,540.48
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 $3,945.80 / $5,222.38 / $5,802.64	Professional		$3,945.80	$5,222.38	$5,802.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,437.52 / $4,437.52 / $4,571.07	Facility		$4,437.52	$4,437.52	$4,571.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,437.52 / $4,437.52 / $4,437.52	Professional		$4,437.52	$4,437.52	$4,437.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $3,656.56	Facility		$2,941.06	$2,941.06	$3,656.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $3,434.89	Professional		$2,146.96	$2,146.96	$3,434.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $2,280.27 / $3,092.51	Professional		$1,350.82	$2,280.27	$3,092.51