Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $1,188.00 / $1,188.00	Facility		$1,188.00	$1,188.00	$1,188.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,188.00 / $1,262.25	Professional		$1,188.00	$1,188.00	$1,262.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,222.89 / $1,222.89 / $1,222.89	Facility		$1,222.89	$1,222.89	$1,222.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.75 / $1,222.89 / $1,650.90	Professional		$1,161.75	$1,222.89	$1,650.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $48.37 / $48.37	Facility		$48.37	$48.37	$48.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,670.63	Professional		$1,262.25	$1,262.25	$1,670.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $1,336.50 / $1,485.00	Facility		$1,188.00	$1,336.50	$1,485.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,311.75 / $1,574.10	Professional		$1,188.00	$1,311.75	$1,574.10