Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,949.84	Professional		$1,023.29	$1,288.25	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,413.10 / $14,125.38	Facility		$3,090.30	$7,413.10	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,570.40	Professional		$2,344.23	$2,454.71	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,884.03	Professional		$1,096.48	$1,513.56	$2,884.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,677.35 / $5,248.07	Facility		$1,380.38	$4,677.35	$5,248.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,019.95	Professional		$1,230.27	$1,949.84	$3,019.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,584.89	Professional		$1,096.48	$1,513.56	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,949.84 / $3,090.30	Facility		$776.25	$1,949.84	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,737.80	Professional		$891.25	$1,148.15	$1,737.80