Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,818.38	Professional		$1,513.56	$1,862.09	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,964.78 / $21,379.62	Facility		$4,677.35	$10,964.78	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $3,890.45	Professional		$3,467.37	$3,630.78	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,265.80	Professional		$1,737.80	$2,398.83	$4,265.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,918.31 / $7,762.47	Facility		$2,089.30	$6,918.31	$7,762.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $4,466.84	Professional		$1,862.09	$2,951.21	$4,466.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,454.71	Professional		$1,737.80	$2,398.83	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $4,570.88	Facility		$1,698.24	$2,951.21	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,630.27	Professional		$1,412.54	$1,737.80	$2,630.27