Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,344.23	Professional		$1,202.26	$1,445.44	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,511.38 / $16,218.10	Facility		$3,630.78	$8,511.38	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $2,951.21	Professional		$2,691.53	$2,818.38	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
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 / $3,311.31	Professional		$1,148.15	$1,584.89	$3,311.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $6,025.60	Facility		$1,621.81	$5,370.32	$6,025.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,467.37	Professional		$1,380.38	$2,238.72	$3,467.37
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 / $1,698.24	Professional		$1,148.15	$1,584.89	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,467.37	Facility		$1,659.59	$2,290.87	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,137.96	Professional		$1,047.13	$1,348.96	$2,137.96