Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,513.56	Professional		$758.58	$1,096.48	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,918.31 / $13,182.57	Facility		$2,884.03	$6,918.31	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,398.83	Professional		$2,187.76	$2,290.87	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,691.53	Professional		$1,071.52	$1,479.11	$2,691.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,365.16 / $4,786.30	Facility		$1,288.25	$4,365.16	$4,786.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,818.38	Professional		$1,023.29	$1,819.70	$2,818.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,513.56	Professional		$1,071.52	$1,479.11	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $2,344.23	Facility		$1,122.02	$1,819.70	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,513.56	Professional		$724.44	$1,071.52	$1,513.56