Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $4,168.69	Professional		$2,187.76	$2,630.27	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $15,488.17 / $29,512.09	Facility		$6,456.54	$15,488.17	$29,512.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,128.61 / $5,370.32	Professional		$4,786.30	$5,128.61	$5,370.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $6,025.60	Professional		$2,398.83	$3,311.31	$6,025.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $9,772.37 / $10,715.19	Facility		$2,884.03	$9,772.37	$10,715.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $6,165.95	Professional		$2,570.40	$4,073.80	$6,165.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $3,548.13	Professional		$2,398.83	$3,311.31	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $6,165.95	Facility		$3,019.95	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,630.78	Professional		$1,905.46	$2,454.71	$3,630.78