Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,162.28	Professional		$1,819.70	$2,691.53	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $13,489.63	Facility		$3,630.78	$3,630.78	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $3,467.37 / $3,630.78	Professional		$380.19	$3,467.37	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $2,691.53	Facility		$234.42	$234.42	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $2,691.53	Facility		$2,454.71	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $2,691.53 / $4,466.84	Professional		$288.40	$2,691.53	$4,466.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $5,370.32	Professional		$1,819.70	$3,019.95	$5,370.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $2,691.53 / $2,691.53	Professional		$288.40	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $2,238.72	Facility		$181.97	$363.08	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $2,754.23	Professional		$1,122.02	$1,905.46	$2,754.23