Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,165.95 / $8,912.51	Professional		$4,786.30	$6,165.95	$8,912.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $38,018.94 / $72,443.60	Facility		$15,848.93	$38,018.94	$72,443.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,589.25 / $13,182.57	Professional		$12,022.64	$12,589.25	$13,182.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,128.31 / $14,791.08	Professional		$5,888.44	$8,128.31	$14,791.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $23,988.33 / $26,915.35	Facility		$7,244.36	$23,988.33	$26,915.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $10,000.00 / $15,488.17	Professional		$6,025.60	$10,000.00	$15,488.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,128.31 / $8,317.64	Professional		$5,888.44	$8,128.31	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $14,454.40	Facility		$5,248.07	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,888.44 / $8,317.64	Professional		$4,365.16	$5,888.44	$8,317.64