Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.80 / $1,808.80 / $1,808.80	Facility		$1,808.80	$1,808.80	$1,808.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.81 / $1,808.80 / $1,808.80	Professional		$1,283.81	$1,808.80	$1,808.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,619.54 / $7,083.41 / $13,439.52	Facility		$3,619.54	$7,083.41	$13,439.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $1,763.18 / $2,505.57	Professional		$180.84	$1,763.18	$2,505.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.36 / $165.38 / $195.30	Facility		$155.36	$165.38	$195.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $200.78 / $2,923.92	Professional		$200.78	$200.78	$2,923.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $211.75	Facility		$144.19	$144.19	$211.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $190.23 / $2,951.25	Professional		$144.19	$190.23	$2,951.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,372.42 / $1,372.42 / $1,808.80	Facility		$1,372.42	$1,372.42	$1,808.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,166.55 / $1,701.80 / $2,356.80	Professional		$1,166.55	$1,701.80	$2,356.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $198.76 / $1,728.42	Professional		$141.72	$198.76	$1,728.42
United Facility/Professional Professional Modifier Low / Median / High Price $695.99 / $864.73 / $1,391.98	Professional		$695.99	$864.73	$1,391.98