Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,090.30	Professional		$1,621.81	$1,949.84	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $21,877.62	Facility		$4,786.30	$11,481.54	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $3,981.07	Professional		$3,630.78	$3,801.89	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $4,466.84	Professional		$1,778.28	$2,454.71	$4,466.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,244.36 / $8,128.31	Facility		$2,187.76	$7,244.36	$8,128.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $4,677.35	Professional		$1,905.46	$3,019.95	$4,677.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,630.27	Professional		$1,778.28	$2,454.71	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $4,677.35	Facility		$2,238.72	$3,019.95	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,691.53	Professional		$1,412.54	$1,819.70	$2,691.53