Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $6,606.93	Professional		$3,388.44	$4,168.69	$6,606.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $22,908.68 / $43,651.58	Facility		$9,772.37	$22,908.68	$43,651.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,585.78 / $7,943.28	Professional		$7,244.36	$7,585.78	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $8,912.51	Professional		$3,630.78	$4,897.79	$8,912.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $14,454.40 / $16,218.10	Facility		$4,365.16	$14,454.40	$16,218.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,165.95 / $9,332.54	Professional		$3,981.07	$6,165.95	$9,332.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $5,128.61	Professional		$3,630.78	$4,897.79	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $9,772.37	Facility		$3,630.78	$6,165.95	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $5,495.41	Professional		$2,884.03	$3,630.78	$5,495.41