Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $4,897.79	Professional		$2,630.27	$3,801.89	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $18,197.01 / $24,547.09	Facility		$512.86	$18,197.01	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $6,606.93 / $6,606.93	Professional		$512.86	$6,606.93	$6,606.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $4,786.30	Facility		$416.87	$416.87	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $3,467.37 / $7,413.10	Professional		$501.19	$3,467.37	$7,413.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $6,606.93	Professional		$3,890.45	$5,248.07	$6,606.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $3,467.37 / $3,548.13	Professional		$501.19	$3,467.37	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,137.96 / $4,570.88	Facility		$269.15	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,248.07	Professional		$2,454.71	$3,388.44	$5,248.07