Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,184.80 / $3,184.80 / $3,184.80	Facility		$3,184.80	$3,184.80	$3,184.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,246.48 / $3,184.80 / $3,204.30	Professional		$2,246.48	$3,184.80	$3,204.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.93 / $3,293.72 / $5,928.70	Professional		$320.93	$3,293.72	$5,928.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.86 / $271.86 / $2,500.88	Facility		$271.86	$271.86	$2,500.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.60 / $334.60 / $334.60	Professional		$334.60	$334.60	$334.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,569.13 / $2,569.13 / $2,569.13	Facility		$2,569.13	$2,569.13	$2,569.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $2,569.13 / $6,060.94	Professional		$295.60	$2,569.13	$6,060.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,904.30 / $3,184.80 / $4,182.50	Professional		$1,904.30	$3,184.80	$4,182.50
United Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $196.41 / $389.06	Professional		$147.80	$196.41	$389.06