Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,492.37 / $3,724.00 / $5,809.44	Facility		$3,492.37	$3,724.00	$5,809.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,371.20 / $3,920.00 / $5,028.00	Professional		$3,371.20	$3,920.00	$5,028.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,748.90 / $2,748.90 / $2,748.90	Facility		$2,748.90	$2,748.90	$2,748.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,611.46 / $2,748.90 / $3,057.60	Professional		$2,611.46	$2,748.90	$3,057.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,920.00 / $5,822.22 / $9,408.00	Facility		$3,920.00	$5,822.22	$9,408.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,920.00 / $4,900.00 / $5,292.00	Professional		$3,920.00	$4,900.00	$5,292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,777.58 / $4,777.58 / $5,971.98	Professional		$4,777.58	$4,777.58	$5,971.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,724.00 / $3,724.00 / $6,842.85	Facility		$3,724.00	$3,724.00	$6,842.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,724.00 / $3,763.20 / $4,704.00	Professional		$3,724.00	$3,763.20	$4,704.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $2,352.00 / $3,920.00	Professional		$1,646.40	$2,352.00	$3,920.00