Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,241.12 / $2,241.12 / $2,241.12	Facility		$2,241.12	$2,241.12	$2,241.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $2,241.12 / $2,241.12	Professional		$1,195.98	$2,241.12	$2,241.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,439.86 / $6,731.76 / $12,772.34	Facility		$3,439.86	$6,731.76	$12,772.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.91 / $2,234.19 / $3,174.92	Professional		$180.91	$2,234.19	$3,174.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $407.58 / $4,075.82	Facility		$145.59	$407.58	$4,075.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $179.18 / $2,687.76	Professional		$179.18	$179.18	$2,687.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $303.33	Facility		$303.33	$303.33	$303.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $2,815.70 / $3,609.38	Professional		$192.51	$2,815.70	$3,609.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,167.59 / $1,167.59 / $2,241.12	Facility		$1,167.59	$1,167.59	$2,241.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,128.48 / $1,831.50 / $2,687.76	Professional		$1,128.48	$1,831.50	$2,687.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $281.57 / $309.72	Professional		$173.16	$281.57	$309.72
United Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $236.11 / $2,040.12	Professional		$112.06	$236.11	$2,040.12