Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.24 / $1,868.24 / $1,868.24	Facility		$1,868.24	$1,868.24	$1,868.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.66 / $1,868.24 / $1,868.24	Professional		$1,210.66	$1,868.24	$1,868.24
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 $2,901.69 / $3,840.47 / $4,267.18	Professional		$2,901.69	$3,840.47	$4,267.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,679.56 / $2,679.56 / $2,826.90	Facility		$2,679.56	$2,679.56	$2,826.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,679.56 / $2,679.56 / $2,679.56	Professional		$2,679.56	$2,679.56	$2,679.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,688.98	Facility		$2,283.76	$2,283.76	$2,688.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $2,625.96	Professional		$1,667.14	$2,283.76	$2,625.96
United Facility/Professional Professional Modifier Low / Median / High Price $891.20 / $1,676.88 / $2,120.16	Professional		$891.20	$1,676.88	$2,120.16