Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,471.36 / $2,471.36 / $2,471.36	Facility		$2,471.36	$2,471.36	$2,471.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,878.57 / $2,471.36 / $2,471.36	Professional		$1,878.57	$2,471.36	$2,471.36
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 $3,838.42 / $5,080.27 / $5,644.74	Professional		$3,838.42	$5,080.27	$5,644.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,316.77 / $4,316.77 / $4,446.72	Facility		$4,316.77	$4,316.77	$4,446.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,316.77 / $4,316.77 / $4,316.77	Professional		$4,316.77	$4,316.77	$4,316.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $3,557.06	Facility		$3,060.59	$3,060.59	$3,557.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $3,341.43	Professional		$2,234.23	$2,234.23	$3,341.43
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,090.62 / $4,090.62 / $4,090.62	Professional		$4,090.62	$4,090.62	$4,090.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.82 / $2,119.33 / $2,969.85	Professional		$1,478.82	$2,119.33	$2,969.85