Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.56 / $1,436.56 / $1,436.56	Facility		$1,436.56	$1,436.56	$1,436.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.73 / $1,436.56 / $1,436.56	Professional		$956.73	$1,436.56	$1,436.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.33 / $3,568.81 / $8,661.08	Facility		$327.33	$3,568.81	$8,661.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $1,410.97 / $1,904.81	Professional		$137.47	$1,410.97	$1,904.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.76 / $116.46 / $1,572.22	Facility		$112.76	$116.46	$1,572.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $143.34 / $2,150.04	Professional		$143.34	$143.34	$2,150.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,459.20	Facility		$1,122.47	$1,122.47	$1,459.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $1,122.47 / $1,600.68	Professional		$341.57	$1,122.47	$1,600.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,298.45 / $1,298.45 / $1,436.56	Facility		$1,298.45	$1,298.45	$1,436.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.96 / $1,298.45 / $1,791.70	Professional		$223.96	$1,298.45	$1,791.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $744.31 / $1,600.68	Professional		$128.05	$744.31	$1,600.68
United Facility/Professional Professional Modifier Low / Median / High Price $607.13 / $860.33 / $1,420.10	Professional		$607.13	$860.33	$1,420.10