Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.54 / $5,796.05 / $9,463.21	Facility		$1,975.54	$5,796.05	$9,463.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.19 / $372.39 / $815.10	Professional		$268.19	$372.39	$815.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,523.23 / $4,803.55 / $11,518.02	Facility		$3,523.23	$4,803.55	$11,518.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $290.52 / $478.12	Professional		$83.71	$290.52	$478.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $347.31 / $414.78	Facility		$276.52	$347.31	$414.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.52 / $364.08 / $496.77	Professional		$280.52	$364.08	$496.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $352.10 / $697.28	Professional		$271.42	$352.10	$697.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,120.34 / $4,933.00 / $8,980.74	Facility		$1,120.34	$4,933.00	$8,980.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $286.20 / $372.40 / $808.10	Professional		$286.20	$372.40	$808.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $264.36 / $391.15	Professional		$179.19	$264.36	$391.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $376.43 / $507.91	Professional		$298.10	$376.43	$507.91