Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,725.46 / $3,437.78 / $6,261.34	Facility		$1,725.46	$3,437.78	$6,261.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $1,140.00 / $1,539.00	Professional		$1,083.00	$1,140.00	$1,539.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $125.93 / $125.93	Facility		$125.93	$125.93	$125.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $379.93 / $391.33	Professional		$277.35	$379.93	$391.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84