Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.68 / $3,512.64 / $11,947.44	Facility		$1,774.68	$3,512.64	$11,947.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.83 / $1,402.46 / $3,022.04	Professional		$1,204.83	$1,402.46	$3,022.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.15 / $3,717.07 / $5,036.04	Facility		$3,189.15	$3,717.07	$5,036.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.75 / $1,467.28 / $2,776.42	Professional		$383.75	$1,467.28	$2,776.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,608.12 / $1,732.62 / $1,923.84	Facility		$1,608.12	$1,732.62	$1,923.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,407.11 / $1,474.11 / $1,588.24	Professional		$1,407.11	$1,474.11	$1,588.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.76 / $1,493.16 / $3,068.82	Professional		$1,243.76	$1,493.16	$3,068.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,571.61 / $3,512.64 / $5,756.00	Facility		$1,571.61	$3,512.64	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,295.06 / $1,710.30 / $2,707.97	Professional		$1,295.06	$1,710.30	$2,707.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $1,030.21 / $1,677.71	Professional		$136.71	$1,030.21	$1,677.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.48 / $1,755.53 / $2,403.36	Professional		$1,416.48	$1,755.53	$2,403.36