Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,691.53	Professional		$1,513.56	$2,187.76	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $12,302.69	Facility		$3,388.44	$3,388.44	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $3,388.44 / $3,388.44	Professional		$245.47	$3,388.44	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $2,454.71	Facility		$208.93	$208.93	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,398.83	Facility		$2,041.74	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,398.83 / $3,981.07	Professional		$251.19	$2,398.83	$3,981.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $5,011.87	Professional		$1,659.59	$2,511.89	$5,011.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,398.83 / $2,398.83	Professional		$251.19	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $331.13 / $1,819.70	Facility		$134.90	$331.13	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,137.96	Professional		$912.01	$1,412.54	$2,137.96