Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.30 / $2,194.30 / $2,194.30	Facility		$2,194.30	$2,194.30	$2,194.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.96 / $2,194.30 / $2,194.30	Professional		$1,667.96	$2,194.30	$2,194.30
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 $3,408.11 / $4,510.74 / $5,011.93	Professional		$3,408.11	$4,510.74	$5,011.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,832.80 / $3,832.80 / $3,948.20	Facility		$3,832.80	$3,832.80	$3,948.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,832.80 / $3,832.80 / $3,832.80	Professional		$3,832.80	$3,832.80	$3,832.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $3,158.29	Facility		$2,540.30	$2,540.30	$3,158.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $3,084.26	Professional		$1,854.42	$2,540.30	$3,084.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.75 / $1,969.54 / $2,696.88	Professional		$1,166.75	$1,969.54	$2,696.88