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 $2,238.72 / $3,388.44 / $4,570.88	Professional		$2,238.72	$3,388.44	$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 $645.65 / $5,888.44 / $6,309.57	Professional		$645.65	$5,888.44	$6,309.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $3,630.78 / $5,888.44	Professional		$407.38	$3,630.78	$5,888.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $6,025.60	Professional		$3,090.30	$4,570.88	$6,025.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $3,630.78 / $3,630.78	Professional		$407.38	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $891.25 / $2,884.03	Facility		$194.98	$891.25	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,548.13	Professional		$1,513.56	$1,905.46	$3,548.13