Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,288.25	Professional		$676.08	$891.25	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,888.44 / $11,220.18	Facility		$2,454.71	$5,888.44	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $2,041.74	Professional		$1,819.70	$1,949.84	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $2,238.72	Professional		$660.69	$912.01	$2,238.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $4,073.80	Facility		$1,096.48	$3,715.35	$4,073.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $2,344.23	Professional		$870.96	$1,513.56	$2,344.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $977.24	Professional		$660.69	$912.01	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,548.82 / $1,995.26	Facility		$812.83	$1,548.82	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,288.25	Professional		$616.60	$912.01	$1,288.25