Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,079.46 / $7,079.46	Facility		$2,630.27	$7,079.46	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $3,801.89	Professional		$2,041.74	$2,511.89	$3,801.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $13,803.84 / $26,302.68	Facility		$5,754.40	$13,803.84	$26,302.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,570.88 / $4,786.30	Professional		$4,365.16	$4,570.88	$4,786.30
CareSource 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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $5,370.32	Professional		$2,041.74	$2,754.23	$5,370.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $9,772.37	Facility		$2,630.27	$8,317.64	$9,772.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $5,623.41	Professional		$2,290.87	$3,630.78	$5,623.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $2,951.21	Professional		$2,041.74	$2,754.23	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $6,025.60	Facility		$2,511.89	$3,630.78	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $3,388.44	Professional		$1,862.09	$2,238.72	$3,388.44