Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $4,570.88	Professional		$2,511.89	$3,548.13	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $22,908.68	Facility		$6,309.57	$6,309.57	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $6,309.57 / $6,309.57	Professional		$478.63	$6,309.57	$6,309.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $4,570.88	Facility		$389.05	$389.05	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,168.69	Facility		$1,659.59	$1,659.59	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,659.59 / $6,918.31	Professional		$467.74	$1,659.59	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $4,365.16 / $6,025.60	Professional		$602.56	$4,365.16	$6,025.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,659.59 / $4,168.69	Professional		$467.74	$1,659.59	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,995.26 / $4,365.16	Facility		$251.19	$1,995.26	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,897.79	Professional		$2,344.23	$3,162.28	$4,897.79