Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,890.45	Professional		$1,995.26	$2,691.53	$3,890.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $31,622.78	Facility		$6,918.31	$16,595.87	$31,622.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,495.41 / $5,754.40	Professional		$5,128.61	$5,495.41	$5,754.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $6,456.54	Professional		$2,570.40	$3,548.13	$6,456.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $10,471.29 / $11,481.54	Facility		$3,090.30	$10,471.29	$11,481.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $6,760.83	Professional		$2,570.40	$4,365.16	$6,760.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $3,630.78	Professional		$2,570.40	$3,548.13	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $6,165.95	Facility		$3,019.95	$4,365.16	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,630.78	Professional		$1,905.46	$2,570.40	$3,630.78