Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $954.99 / $954.99	Facility		$851.14	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,380.38	Professional		$707.95	$851.14	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $9,549.93	Facility		$2,089.30	$5,011.87	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,737.80	Professional		$1,584.89	$1,659.59	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,000.00 / $1,047.13	Facility		$426.58	$1,000.00	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,949.84	Professional		$794.33	$933.25	$1,949.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $3,548.13	Facility		$954.99	$3,162.28	$3,548.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,041.74	Professional		$851.14	$1,318.26	$2,041.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $954.99	Professional		$794.33	$933.25	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,047.13 / $1,995.26	Facility		$389.05	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,148.15	Professional		$616.60	$794.33	$1,148.15