Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,698.24	Professional		$851.14	$1,122.02	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,413.10 / $14,125.38	Facility		$3,090.30	$7,413.10	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,570.40	Professional		$2,290.87	$2,454.71	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,884.03	Professional		$1,148.15	$1,584.89	$2,884.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,677.35 / $5,128.61	Facility		$1,380.38	$4,677.35	$5,128.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $2,951.21	Professional		$1,122.02	$1,949.84	$2,951.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $1,621.81	Professional		$1,148.15	$1,584.89	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $2,570.40	Facility		$1,071.52	$1,949.84	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,621.81	Professional		$776.25	$1,148.15	$1,621.81