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 $812.83 / $1,148.15 / $1,659.59	Professional		$812.83	$1,148.15	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $13,803.84	Facility		$3,090.30	$7,244.36	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $2,511.89	Professional		$2,290.87	$2,398.83	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,818.38	Professional		$851.14	$1,174.90	$2,818.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,570.88 / $5,128.61	Facility		$1,380.38	$4,570.88	$5,128.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,951.21	Professional		$1,122.02	$1,862.09	$2,951.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,230.27	Professional		$851.14	$1,174.90	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,949.84 / $2,511.89	Facility		$933.25	$1,949.84	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,621.81	Professional		$776.25	$1,148.15	$1,621.81