Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $11,481.54 / $18,620.87	Professional		$9,549.93	$11,481.54	$18,620.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $67,608.30 / $128,824.96	Facility		$28,183.83	$67,608.30	$128,824.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $22,387.21 / $23,442.29	Professional		$21,379.62	$22,387.21	$23,442.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility		$14,791.08	$14,791.08	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $14,454.40 / $26,302.68	Professional		$10,715.19	$14,454.40	$26,302.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $42,657.95 / $47,863.01	Facility		$12,882.50	$42,657.95	$47,863.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $17,782.79 / $27,542.29	Professional		$11,220.18	$17,782.79	$27,542.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $14,454.40 / $15,488.17	Professional		$10,715.19	$14,454.40	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $17,782.79 / $27,542.29	Facility		$13,182.57	$17,782.79	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,715.19 / $15,848.93	Professional		$8,317.64	$10,715.19	$15,848.93