Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,905.46	Professional		$1,023.29	$1,318.26	$1,905.46
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 $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,884.03	Professional		$1,174.90	$1,621.81	$2,884.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $5,248.07	Facility		$1,412.54	$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 $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,737.80	Professional		$1,174.90	$1,621.81	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,949.84 / $3,019.95	Facility		$741.31	$1,949.84	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,737.80	Professional		$870.96	$1,148.15	$1,737.80