Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.29 / $1,269.29 / $1,980.09	Facility		$1,269.29	$1,269.29	$1,980.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.04 / $1,269.29 / $1,269.29	Professional		$1,149.04	$1,269.29	$1,269.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.94 / $936.94 / $936.94	Facility		$936.94	$936.94	$936.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.09 / $936.94 / $1,042.15	Professional		$890.09	$936.94	$1,042.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,984.45 / $3,206.62	Facility		$1,336.09	$1,984.45	$3,206.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,670.11 / $1,803.72	Professional		$1,336.09	$1,670.11	$1,803.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.46 / $1,628.46 / $2,035.58	Professional		$1,628.46	$1,628.46	$2,035.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,269.29 / $1,269.29 / $2,332.32	Facility		$1,269.29	$1,269.29	$2,332.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,269.29 / $1,282.65 / $1,603.30	Professional		$1,269.29	$1,282.65	$1,603.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $1,603.31	Facility		$1,336.09	$1,336.09	$1,603.31
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $801.65 / $1,336.09	Professional		$561.16	$801.65	$1,336.09