Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,174.90	Professional		$630.96	$870.96	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $7,079.46	Facility		$1,698.24	$3,715.35	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,479.11	Professional		$1,096.48	$1,479.11	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $1,230.27	Facility		$91.20	$91.20	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $891.25	Facility		$870.96	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $891.25 / $1,621.81	Professional		$109.65	$891.25	$1,621.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $3,162.28	Facility		$1,148.15	$2,818.38	$3,162.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,174.90 / $1,737.80	Professional		$173.78	$1,174.90	$1,737.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $891.25 / $912.01	Professional		$109.65	$891.25	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $501.19 / $1,096.48	Facility		$64.57	$501.19	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Professional		$549.54	$741.31	$1,174.90