Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,621.19 / $2,621.19 / $2,621.19	Facility		$2,621.19	$2,621.19	$2,621.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $2,621.19 / $2,621.19	Professional		$1,195.98	$2,621.19	$2,621.19
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 / $1,675.65 / $3,174.92	Professional		$171.86	$1,675.65	$3,174.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $466.92 / $4,669.20	Facility		$145.59	$466.92	$4,669.20
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 $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $3,685.49 / $3,913.60	Professional		$192.51	$3,685.49	$3,913.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,167.59 / $1,167.59 / $2,621.19	Facility		$1,167.59	$1,167.59	$2,621.19
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 $240.68 / $391.36 / $430.49	Professional		$240.68	$391.36	$430.49
United Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $328.20 / $713.28	Professional		$123.25	$328.20	$713.28