Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,344.23	Professional		$1,318.26	$1,698.24	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,772.37 / $18,620.87	Facility		$4,073.80	$9,772.37	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $3,388.44	Professional		$3,090.30	$3,235.94	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,801.89	Professional		$1,318.26	$1,819.70	$3,801.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $6,165.95 / $6,918.31	Facility		$1,819.70	$6,165.95	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,981.07	Professional		$1,698.24	$2,570.40	$3,981.07
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $1,949.84	Professional		$1,318.26	$1,819.70	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,570.40 / $3,981.07	Facility		$977.24	$2,570.40	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,290.87	Professional		$1,148.15	$1,513.56	$2,290.87