Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,815.28 / $4,815.28 / $4,815.28	Facility		$4,815.28	$4,815.28	$4,815.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,997.89 / $4,574.89 / $4,815.28	Professional		$2,997.89	$4,574.89	$4,815.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,025.70 / $11,182.64 / $27,138.99	Facility		$1,025.70	$11,182.64	$27,138.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.45 / $5,600.16 / $7,958.13	Professional		$453.45	$5,600.16	$7,958.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.92 / $401.79 / $5,158.12	Facility		$364.92	$401.79	$5,158.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.14 / $449.14 / $6,737.04	Professional		$449.14	$449.14	$6,737.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $2,046.52 / $6,495.00	Professional		$200.00	$2,046.52	$6,495.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,647.51 / $4,647.51 / $4,815.28	Facility		$4,647.51	$4,647.51	$4,815.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $688.83 / $4,647.51 / $5,614.20	Professional		$688.83	$4,647.51	$5,614.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.73 / $336.21 / $2,923.60	Professional		$239.73	$336.21	$2,923.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,174.85 / $2,812.90 / $4,390.66	Professional		$2,174.85	$2,812.90	$4,390.66