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 $1,905.46 / $2,290.87 / $3,630.78	Professional		$1,905.46	$2,290.87	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,182.57 / $25,703.96	Facility		$5,623.41	$13,182.57	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,466.84 / $4,677.35	Professional		$4,168.69	$4,466.84	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,128.61	Professional		$2,238.72	$3,090.30	$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 $2,290.87 / $3,548.13 / $5,370.32	Professional		$2,290.87	$3,548.13	$5,370.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,235.94	Professional		$2,238.72	$3,090.30	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $5,370.32	Facility		$2,630.27	$3,548.13	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,090.30	Professional		$1,659.59	$2,137.96	$3,090.30