Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,202.26	Professional		$575.44	$912.01	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $5,011.87	Facility		$1,047.13	$1,047.13	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $1,380.38 / $1,380.38	Professional		$107.15	$1,380.38	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $1,148.15	Facility		$85.11	$85.11	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $707.95 / $1,548.82	Professional		$109.65	$707.95	$1,548.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $933.25 / $1,348.96	Professional		$134.90	$933.25	$1,348.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $707.95 / $724.44	Professional		$109.65	$707.95	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $389.05 / $870.96	Facility		$52.48	$389.05	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $891.25	Professional		$478.63	$588.84	$891.25