Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $6,456.54	Professional		$3,630.78	$4,365.16	$6,456.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $25,703.96 / $50,118.72	Facility		$10,964.78	$25,703.96	$50,118.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,709.64 / $9,120.11	Professional		$8,128.31	$8,709.64	$9,120.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $10,000.00	Professional		$4,073.80	$4,786.30	$10,000.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $16,218.10 / $18,197.01	Facility		$4,897.79	$16,218.10	$18,197.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,918.31 / $10,471.29	Professional		$4,365.16	$6,918.31	$10,471.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $4,897.79	Professional		$4,073.80	$4,786.30	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,918.31 / $10,232.93	Facility		$5,011.87	$6,918.31	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $6,456.54	Professional		$3,162.28	$4,073.80	$6,456.54