Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,041.74	Facility		$1,862.09	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,951.21	Professional		$1,548.82	$1,862.09	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $20,892.96	Facility		$4,570.88	$10,964.78	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $3,801.89	Professional		$3,388.44	$3,630.78	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,187.76 / $2,290.87	Facility		$912.01	$2,187.76	$2,290.87
Cigna 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 Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,265.80	Professional		$2,454.71	$2,884.03	$4,265.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,918.31 / $7,585.78	Facility		$2,041.74	$6,918.31	$7,585.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $4,365.16	Professional		$1,862.09	$2,884.03	$4,365.16
Priority Health 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
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $2,951.21	Professional		$2,454.71	$2,884.03	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,290.87 / $4,365.16	Facility		$851.14	$2,290.87	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,454.71	Professional		$1,348.96	$1,737.80	$2,454.71