Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,762.47 / $10,000.00	Professional		$5,370.32	$7,762.47	$10,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $48,977.88	Facility		$13,489.63	$13,489.63	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $12,882.50 / $13,489.63	Professional		$1,380.38	$12,882.50	$13,489.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $11,220.18	Facility		$831.76	$831.76	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,165.95	Facility		$5,128.61	$5,128.61	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $5,128.61 / $14,791.08	Professional		$912.01	$5,128.61	$14,791.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $19,498.45	Professional		$5,128.61	$8,128.31	$19,498.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $5,128.61 / $6,165.95	Professional		$912.01	$5,128.61	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,318.26 / $5,623.41	Facility		$371.54	$1,318.26	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $6,025.60	Professional		$2,818.38	$3,981.07	$6,025.60