Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,819.70	Professional		$977.24	$1,380.38	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $8,912.51	Facility		$2,398.83	$2,398.83	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $2,290.87 / $2,398.83	Professional		$186.21	$2,290.87	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $2,041.74	Facility		$151.36	$151.36	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $1,071.52	Facility		$169.82	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Professional		$162.18	$1,071.52	$2,691.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,344.23	Professional		$1,318.26	$1,778.28	$2,344.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $1,071.52	Facility		$169.82	$1,071.52	$1,071.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,071.52 / $1,318.26	Professional		$162.18	$1,071.52	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $660.69 / $1,288.25	Facility		$77.62	$660.69	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,548.82	Professional		$776.25	$1,047.13	$1,548.82