Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,176.63 / $2,176.63 / $2,176.63	Facility		$2,176.63	$2,176.63	$2,176.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,813.86 / $2,176.63 / $2,176.63	Professional		$1,813.86	$2,176.63	$2,176.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,768.74 / $11,493.57 / $20,933.57	Facility		$5,768.74	$11,493.57	$20,933.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,620.80 / $3,811.37 / $5,145.35	Professional		$3,620.80	$3,811.37	$5,145.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,417.98 / $2,477.39 / $2,490.80	Facility		$2,417.98	$2,477.39	$2,490.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,049.10 / $3,049.10 / $3,049.10	Professional		$3,049.10	$3,049.10	$3,049.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $4,418.63	Professional		$2,381.07	$2,381.07	$4,418.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $304.89 / $304.89 / $2,176.63	Facility		$304.89	$304.89	$2,176.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $2,176.63 / $4,001.93	Professional		$304.89	$2,176.63	$4,001.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,415.86 / $1,822.08 / $2,831.71	Professional		$1,415.86	$1,822.08	$2,831.71