Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,380.38	Professional		$707.95	$912.01	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $10,232.93	Facility		$2,290.87	$5,370.32	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,862.09	Professional		$1,698.24	$1,778.28	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,089.30	Professional		$912.01	$1,258.93	$2,089.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,388.44 / $3,801.89	Facility		$1,023.29	$3,388.44	$3,801.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,187.76	Professional		$891.25	$1,412.54	$2,187.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,348.96	Professional		$912.01	$1,258.93	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,089.30	Facility		$1,023.29	$1,445.44	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,258.93	Professional		$645.65	$851.14	$1,258.93