Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.31 / $1,900.00 / $2,964.00	Facility		$1,794.31	$1,900.00	$2,964.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.67 / $1,900.00 / $3,000.00	Professional		$1,122.67	$1,900.00	$3,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,027.52 / $1,432.79 / $2,516.46	Facility		$1,027.52	$1,432.79	$2,516.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.50 / $950.00 / $1,016.50	Professional		$902.50	$950.00	$1,016.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,970.52 / $5,295.15	Facility		$2,000.00	$2,970.52	$5,295.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,500.00 / $2,700.00	Professional		$2,000.00	$2,500.00	$2,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,013.55 / $4,500.00	Professional		$800.00	$1,013.55	$4,500.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $322.22 / $1,900.00 / $3,491.25	Facility		$322.22	$1,900.00	$3,491.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $322.22 / $1,900.00 / $2,400.00	Professional		$322.22	$1,900.00	$2,400.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,656.00 / $1,821.60 / $2,235.60	Professional		$1,656.00	$1,821.60	$2,235.60
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,200.00 / $2,000.00	Professional		$840.00	$1,200.00	$2,000.00