Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,090.30	Professional		$1,584.89	$1,905.46	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,220.18 / $21,379.62	Facility		$4,786.30	$11,220.18	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $3,890.45	Professional		$3,548.13	$3,715.35	$3,890.45
CareSource 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 Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $4,365.16	Professional		$1,659.59	$2,290.87	$4,365.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,079.46 / $7,943.28	Facility		$2,137.96	$7,079.46	$7,943.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $4,570.88	Professional		$1,905.46	$2,951.21	$4,570.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,398.83	Professional		$1,659.59	$2,290.87	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $4,570.88	Facility		$2,187.76	$3,019.95	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,630.27	Professional		$1,380.38	$1,778.28	$2,630.27