Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,144.46 / $6,405.29 / $11,060.15	Facility		$3,144.46	$6,405.29	$11,060.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,777.18 / $8,933.29 / $11,060.15	Facility	50	$4,777.18	$8,933.29	$11,060.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $515.47 / $1,138.64	Professional		$404.20	$515.47	$1,138.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,945.68 / $5,773.11 / $7,864.56	Facility		$4,945.68	$5,773.11	$7,864.56
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,125.84 / $4,102.71 / $5,332.38	Facility	50	$3,125.84	$4,102.71	$5,332.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $656.16 / $1,196.33	Professional		$104.30	$656.16	$1,196.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.90 / $526.37 / $579.11	Facility		$389.90	$526.37	$579.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.60 / $467.38 / $512.58	Professional		$392.60	$467.38	$512.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.28 / $489.83 / $843.79	Professional		$381.28	$489.83	$843.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,883.18 / $6,881.42 / $11,586.21	Facility		$2,883.18	$6,881.42	$11,586.21
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $4,777.18 / $8,263.69 / $15,282.17	Facility	50	$4,777.18	$8,263.69	$15,282.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $416.21 / $524.27 / $1,137.68	Professional		$416.21	$524.27	$1,137.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.30 / $413.55 / $591.45	Professional		$331.30	$413.55	$591.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $8,847.00 / $10,652.00	Facility		$4,500.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.59 / $582.11 / $868.91	Professional		$475.59	$582.11	$868.91