Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,127.57 / $2,127.57 / $2,127.57	Facility		$2,127.57	$2,127.57	$2,127.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,617.25 / $2,127.57 / $2,127.57	Professional		$1,617.25	$2,127.57	$2,127.57
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 $3,304.46 / $4,373.55 / $4,859.50	Professional		$3,304.46	$4,373.55	$4,859.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,716.28 / $3,716.28 / $3,828.18	Facility		$3,716.28	$3,716.28	$3,828.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,716.28 / $3,716.28 / $3,716.28	Professional		$3,716.28	$3,716.28	$3,716.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $3,062.23	Facility		$2,463.07	$2,463.07	$3,062.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $2,990.46	Professional		$1,798.04	$2,463.07	$2,990.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.27 / $1,909.64 / $2,596.73	Professional		$1,131.27	$1,909.64	$2,596.73