Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,511.38	Professional		$4,466.84	$5,248.07	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $30,902.95 / $58,884.37	Facility		$13,182.57	$30,902.95	$58,884.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,232.93 / $10,715.19	Professional		$9,772.37	$10,232.93	$10,715.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,606.93 / $12,022.64	Professional		$4,897.79	$6,606.93	$12,022.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $19,498.45 / $21,877.62	Facility		$5,888.44	$19,498.45	$21,877.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $12,589.25	Professional		$5,128.61	$8,128.31	$12,589.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,606.93 / $6,918.31	Professional		$4,897.79	$6,606.93	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,317.64 / $12,589.25	Facility		$6,025.60	$8,317.64	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $7,413.10	Professional		$3,801.89	$4,897.79	$7,413.10