Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,467.37	Professional		$1,862.09	$2,290.87	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,182.57 / $25,118.86	Facility		$5,623.41	$13,182.57	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $4,677.35	Professional		$4,168.69	$4,365.16	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $5,128.61	Professional		$2,290.87	$3,162.28	$5,128.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,317.64 / $9,332.54	Facility		$2,511.89	$8,317.64	$9,332.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $5,370.32	Professional		$2,187.76	$3,548.13	$5,370.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,388.44	Professional		$2,290.87	$3,162.28	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $5,623.41	Facility		$2,754.23	$3,548.13	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,162.28	Professional		$1,659.59	$2,089.30	$3,162.28