Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,746.40 / $2,746.40 / $2,746.40	Facility		$2,746.40	$2,746.40	$2,746.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $2,581.13 / $2,746.40	Professional		$1,195.98	$2,581.13	$2,746.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,559.58 / $7,092.06 / $12,772.34	Facility		$3,559.58	$7,092.06	$12,772.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $235.18 / $317.49	Professional		$223.42	$235.18	$317.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $267.29 / $2,672.94	Facility		$145.59	$267.29	$2,672.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $179.18 / $2,687.76	Professional		$179.18	$179.18	$2,687.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,195.38 / $2,195.38 / $3,360.51	Facility		$2,195.38	$2,195.38	$3,360.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $2,910.00 / $3,637.50	Professional		$192.51	$2,910.00	$3,637.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,167.59 / $1,167.59 / $2,746.40	Facility		$1,167.59	$1,167.59	$2,746.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,167.59 / $2,351.79 / $2,746.40	Professional		$1,167.59	$2,351.79	$2,746.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $365.02 / $2,628.63	Professional		$123.25	$365.02	$2,628.63