Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,412.40 / $2,412.40 / $2,412.40	Facility		$2,412.40	$2,412.40	$2,412.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.37 / $2,412.40 / $2,412.40	Professional		$1,663.37	$2,412.40	$2,412.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.41 / $6,204.61 / $15,057.88	Facility		$608.41	$6,204.61	$15,057.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.02 / $2,453.06 / $4,415.51	Professional		$239.02	$2,453.06	$4,415.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.48 / $202.48 / $202.48	Facility		$202.48	$202.48	$202.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.20 / $249.20 / $3,738.00	Professional		$249.20	$249.20	$3,738.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.82 / $1,950.00 / $3,611.25	Professional		$244.82	$1,950.00	$3,611.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,412.40 / $2,470.29 / $2,470.29	Facility		$2,412.40	$2,470.29	$2,470.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,085.76 / $2,470.29 / $3,211.37	Professional		$1,085.76	$2,470.29	$3,211.37
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 $1,005.20 / $1,512.91 / $2,231.66	Professional		$1,005.20	$1,512.91	$2,231.66