Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $7,762.47	Professional		$4,265.80	$5,248.07	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $30,199.52 / $58,884.37	Facility		$12,882.50	$30,199.52	$58,884.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $10,232.93 / $10,715.19	Professional		$9,549.93	$10,232.93	$10,715.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $11,748.98	Professional		$4,786.30	$6,606.93	$11,748.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $19,054.61 / $21,379.62	Facility		$5,754.40	$19,054.61	$21,379.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $12,302.69	Professional		$5,011.87	$8,128.31	$12,302.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $6,760.83	Professional		$4,786.30	$6,606.93	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $12,302.69	Facility		$4,677.35	$8,128.31	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $7,079.46	Professional		$3,801.89	$4,786.30	$7,079.46