Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,019.95	Professional		$1,698.24	$2,454.71	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $12,882.50	Facility		$3,548.13	$3,548.13	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $2,630.27 / $3,548.13	Professional		$269.15	$2,630.27	$3,548.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $2,691.53	Facility		$223.87	$223.87	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,090.30	Facility		$2,344.23	$2,570.40	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $2,570.40 / $3,981.07	Professional		$269.15	$2,570.40	$3,981.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,128.61	Professional		$2,137.96	$3,019.95	$5,128.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,090.30	Facility		$2,570.40	$2,570.40	$3,090.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $2,570.40 / $3,388.44	Professional		$269.15	$2,570.40	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $346.74 / $2,089.30	Facility		$169.82	$346.74	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,511.89	Professional		$1,071.52	$1,778.28	$2,511.89