Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,073.80	Professional		$2,041.74	$2,818.38	$4,073.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $17,782.79 / $33,884.42	Facility		$7,413.10	$17,782.79	$33,884.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,888.44 / $6,165.95	Professional		$5,623.41	$5,888.44	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $6,918.31	Professional		$2,754.23	$3,801.89	$6,918.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $11,220.18 / $12,589.25	Facility		$3,388.44	$11,220.18	$12,589.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,677.35 / $7,244.36	Professional		$2,691.53	$4,677.35	$7,244.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $4,073.80	Professional		$2,754.23	$3,801.89	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $6,456.54	Facility		$3,090.30	$4,677.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,890.45	Professional		$1,949.84	$2,818.38	$3,890.45