Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.08 / $1,002.08 / $1,002.08	Facility		$1,002.08	$1,002.08	$1,002.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.74 / $1,002.08 / $1,002.08	Professional		$658.74	$1,002.08	$1,002.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.82 / $2,482.92 / $5,928.11	Facility		$246.82	$2,482.92	$5,928.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $1,230.52 / $1,748.63	Professional		$94.66	$1,230.52	$1,748.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $80.18 / $984.20	Facility		$78.09	$80.18	$984.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $98.69 / $1,437.24	Professional		$98.69	$98.69	$1,437.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $775.91	Facility		$775.91	$775.91	$775.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $1,172.88 / $1,428.75	Professional		$659.52	$1,172.88	$1,428.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $913.86 / $913.86 / $1,002.08	Facility		$913.86	$913.86	$1,002.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $913.86 / $1,233.59	Professional		$123.36	$913.86	$1,233.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $129.01 / $1,172.88	Professional		$93.83	$129.01	$1,172.88
United Facility/Professional Professional Modifier Low / Median / High Price $427.27 / $583.30 / $982.26	Professional		$427.27	$583.30	$982.26