Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,757.80 / $2,757.80 / $2,757.80	Facility		$2,757.80	$2,757.80	$2,757.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,096.29 / $2,757.80 / $2,757.80	Professional		$2,096.29	$2,757.80	$2,757.80
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 $4,283.31 / $5,669.09 / $6,298.99	Professional		$4,283.31	$5,669.09	$6,298.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,817.09 / $4,817.09 / $4,962.09	Facility		$4,817.09	$4,817.09	$4,962.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,817.09 / $4,817.09 / $4,817.09	Professional		$4,817.09	$4,817.09	$4,817.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $3,969.34	Facility		$2,801.20	$2,801.20	$3,969.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $3,728.72	Professional		$2,044.88	$2,044.88	$3,728.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,466.37 / $2,475.32 / $3,315.24	Professional		$1,466.37	$2,475.32	$3,315.24