Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,090.30	Professional		$1,621.81	$2,089.30	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,748.98 / $22,387.21	Facility		$4,897.79	$11,748.98	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,890.45 / $4,073.80	Professional		$3,630.78	$3,890.45	$4,073.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,466.84	Professional		$1,698.24	$2,344.23	$4,466.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,413.10 / $8,128.31	Facility		$2,187.76	$7,413.10	$8,128.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $4,677.35	Professional		$1,949.84	$3,090.30	$4,677.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,454.71	Professional		$1,698.24	$2,344.23	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,090.30 / $4,677.35	Facility		$1,174.90	$3,090.30	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,754.23	Professional		$1,348.96	$1,819.70	$2,754.23