Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,513.56	Professional		$870.96	$1,230.27	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $6,606.93	Facility		$1,819.70	$1,819.70	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $1,819.70	Professional		$1,348.96	$1,819.70	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $912.01 / $1,513.56	Facility		$120.23	$912.01	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Facility		$1,230.27	$1,230.27	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $2,137.96	Professional		$1,230.27	$1,258.93	$2,137.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,513.56 / $2,754.23	Professional		$181.97	$1,513.56	$2,754.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,621.81	Facility		$1,230.27	$1,230.27	$1,621.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,659.59	Professional		$1,230.27	$1,258.93	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $741.31 / $1,348.96	Facility		$89.13	$741.31	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,659.59	Professional		$741.31	$1,122.02	$1,659.59