Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,118.08 / $5,118.08 / $5,118.08	Facility		$5,118.08	$5,118.08	$5,118.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,164.26 / $4,649.00 / $5,118.08	Professional		$3,164.26	$4,649.00	$5,118.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.40 / $11,803.30 / $28,645.26	Facility		$1,157.40	$11,803.30	$28,645.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.69 / $4,666.57 / $8,399.82	Professional		$454.69	$4,666.57	$8,399.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $385.18 / $432.81 / $5,343.27	Facility		$385.18	$432.81	$5,343.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $474.06 / $474.06 / $7,110.96	Professional		$474.06	$474.06	$7,110.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $422.50 / $422.50	Facility		$422.50	$422.50	$422.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $2,163.84 / $6,708.75	Professional		$422.50	$2,163.84	$6,708.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,006.24 / $5,006.24 / $5,118.08	Facility		$5,006.24	$5,006.24	$5,118.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,947.82 / $5,006.24 / $6,041.20	Professional		$2,947.82	$5,006.24	$6,041.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.47 / $355.48 / $3,091.20	Professional		$253.47	$355.48	$3,091.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,393.83 / $3,031.04 / $4,541.89	Professional		$2,393.83	$3,031.04	$4,541.89