Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $1,862.09	Facility		$1,659.59	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,691.53	Professional		$1,380.38	$1,659.59	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,772.37 / $18,620.87	Facility		$4,073.80	$9,772.37	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $3,388.44	Professional		$3,090.30	$3,235.94	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,949.84 / $2,089.30	Facility		$831.76	$1,949.84	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $3,801.89	Professional		$1,548.82	$1,819.70	$3,801.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,165.95 / $6,918.31	Facility		$1,862.09	$6,165.95	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $3,981.07	Professional		$1,659.59	$2,570.40	$3,981.07
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,862.09	Professional		$1,548.82	$1,819.70	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,981.07	Facility		$758.58	$2,089.30	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,238.72	Professional		$1,202.26	$1,548.82	$2,238.72