Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.80 / $1,288.80 / $1,288.80	Facility		$1,288.80	$1,288.80	$1,288.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.48 / $1,288.80 / $1,288.80	Professional		$832.48	$1,288.80	$1,288.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.50 / $3,105.29 / $7,536.19	Facility		$304.50	$3,105.29	$7,536.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $1,227.71 / $2,209.88	Professional		$125.92	$1,227.71	$2,209.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $101.34 / $1,368.02	Facility		$97.40	$101.34	$1,368.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $124.72 / $1,816.32	Professional		$124.72	$124.72	$1,816.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $989.22 / $1,494.44	Professional		$751.21	$989.22	$1,494.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,153.77 / $1,153.77 / $1,288.80	Facility		$1,153.77	$1,153.77	$1,288.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $1,153.77 / $1,559.00	Professional		$155.90	$1,153.77	$1,559.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $155.35 / $1,412.37	Professional		$112.98	$155.35	$1,412.37
United Facility/Professional Professional Modifier Low / Median / High Price $539.42 / $779.89 / $1,261.73	Professional		$539.42	$779.89	$1,261.73