Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,454.71	Professional		$1,318.26	$1,905.46	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $12,022.64	Facility		$3,311.31	$3,311.31	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $3,311.31	Professional		$2,344.23	$3,311.31	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $2,398.83	Facility		$204.17	$309.03	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,862.09 / $3,630.78	Professional		$251.19	$1,862.09	$3,630.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,235.94	Professional		$1,621.81	$2,398.83	$3,235.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,862.09 / $1,905.46	Professional		$251.19	$1,862.09	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,380.38 / $2,630.27	Facility		$154.88	$1,380.38	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $2,951.21	Professional		$1,288.25	$2,238.72	$2,951.21