Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $11,220.18 / $16,595.87	Professional		$8,912.51	$11,220.18	$16,595.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $64,565.42 / $123,026.88	Facility		$26,915.35	$64,565.42	$123,026.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $22,387.21	Professional		$20,417.38	$21,379.62	$22,387.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $25,118.86	Professional		$10,000.00	$13,803.84	$25,118.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $40,738.03 / $45,708.82	Facility		$12,302.69	$40,738.03	$45,708.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $16,982.44 / $26,302.68	Professional		$10,715.19	$16,982.44	$26,302.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $14,125.38	Professional		$10,000.00	$13,803.84	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $16,982.44 / $26,302.68	Facility		$12,589.25	$16,982.44	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,232.93 / $15,135.61	Professional		$7,943.28	$10,232.93	$15,135.61