Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,951.21	Professional		$1,479.11	$1,995.26	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $12,302.69 / $23,442.29	Facility		$5,128.61	$12,302.69	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,265.80	Professional		$3,890.45	$4,073.80	$4,265.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,786.30	Professional		$1,905.46	$2,630.27	$4,786.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,762.47 / $8,709.64	Facility		$2,344.23	$7,762.47	$8,709.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $5,011.87	Professional		$1,905.46	$3,235.94	$5,011.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $2,691.53	Professional		$1,905.46	$2,630.27	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $4,466.84	Facility		$2,187.76	$3,235.94	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,754.23	Professional		$1,380.38	$1,949.84	$2,754.23