Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.90 / $2,124.90 / $2,124.90	Facility		$2,124.90	$2,124.90	$2,124.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.68 / $2,124.90 / $2,124.90	Professional		$1,663.68	$2,124.90	$2,124.90
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 $3,300.31 / $4,368.05 / $4,853.39	Professional		$3,300.31	$4,368.05	$4,853.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,859.48 / $3,859.48 / $4,228.03	Facility		$3,859.48	$3,859.48	$4,228.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,859.48 / $3,859.48 / $3,859.48	Professional		$3,859.48	$3,859.48	$3,859.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,058.38 / $3,297.39 / $3,297.39	Facility		$3,058.38	$3,297.39	$3,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.40 / $2,986.70 / $3,297.39	Professional		$2,298.40	$2,986.70	$3,297.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,332.71 / $4,332.71 / $5,097.31	Facility		$4,332.71	$4,332.71	$5,097.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.50 / $1,907.24 / $2,939.00	Professional		$1,271.50	$1,907.24	$2,939.00