Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,412.54	Professional		$776.25	$933.25	$1,412.54
BCBS 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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $1,905.46	Professional		$1,737.80	$1,819.70	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $2,137.96	Professional		$870.96	$1,023.29	$2,137.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,467.37 / $3,890.45	Facility		$1,047.13	$3,467.37	$3,890.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,238.72	Professional		$933.25	$1,445.44	$2,238.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,047.13	Professional		$870.96	$1,023.29	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,238.72	Facility		$1,071.52	$1,479.11	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,380.38	Professional		$676.08	$870.96	$1,380.38