Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.72 / $1,700.72 / $1,700.72	Facility		$1,700.72	$1,700.72	$1,700.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.26 / $1,700.72 / $1,700.72	Professional		$1,047.26	$1,700.72	$1,700.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.42 / $3,493.55 / $9,015.23	Facility		$339.42	$3,493.55	$9,015.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $1,544.45 / $2,780.00	Professional		$150.47	$1,544.45	$2,780.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.48 / $146.88 / $1,782.12	Facility		$127.48	$146.88	$1,782.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $156.90 / $2,353.44	Professional		$156.90	$156.90	$2,353.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $1,857.48 / $2,887.50	Professional		$160.65	$1,857.48	$2,887.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $175.86 / $1,700.72 / $1,758.65	Facility		$175.86	$1,700.72	$1,758.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $1,700.72 / $1,961.20	Professional		$175.86	$1,700.72	$1,961.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $213.61 / $1,857.48	Professional		$152.31	$213.61	$1,857.48
United Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $992.09 / $1,570.80	Facility		$117.36	$992.09	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $822.34 / $1,064.78 / $1,668.82	Professional		$822.34	$1,064.78	$1,668.82