Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,047.13	Professional		$562.34	$812.83	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,890.45 / $5,248.07	Facility		$1,412.54	$3,890.45	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,348.96 / $1,412.54	Professional		$109.65	$1,348.96	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $1,023.29	Facility		$87.10	$89.13	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $954.99	Facility		$831.76	$831.76	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $831.76 / $1,584.89	Professional		$107.15	$831.76	$1,584.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,000.00 / $1,380.38	Professional		$138.04	$1,000.00	$1,380.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $831.76 / $954.99	Professional		$107.15	$831.76	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $457.09 / $977.24	Facility		$57.54	$457.09	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Professional		$524.81	$724.44	$1,122.02