Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,449.04 / $2,449.04 / $2,449.04	Facility		$2,449.04	$2,449.04	$2,449.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $2,449.04 / $2,449.04	Professional		$1,195.98	$2,449.04	$2,449.04
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 $171.86 / $2,234.19 / $3,174.92	Professional		$171.86	$2,234.19	$3,174.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $512.30 / $5,123.09	Facility		$145.59	$512.30	$5,123.09
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 Professional Modifier Low / Median / High Price $192.51 / $2,576.44 / $3,637.50	Professional		$192.51	$2,576.44	$3,637.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,167.59 / $1,167.59 / $2,449.04	Facility		$1,167.59	$1,167.59	$2,449.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,128.48 / $2,015.82 / $2,687.76	Professional		$1,128.48	$2,015.82	$2,687.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $341.66 / $375.82	Professional		$210.12	$341.66	$375.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $291.68 / $2,122.05	Professional		$123.25	$291.68	$2,122.05