Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.88 / $1,004.88 / $1,004.88	Facility		$1,004.88	$1,004.88	$1,004.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $889.50 / $1,004.88	Professional		$516.40	$889.50	$1,004.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,367.09 / $2,718.14 / $5,251.68	Facility		$1,367.09	$2,718.14	$5,251.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $101.54 / $130.55	Professional		$91.87	$101.54	$130.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.86 / $95.13 / $434.36	Facility		$62.86	$95.13	$434.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $77.36 / $116.04	Professional		$77.36	$77.36	$116.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $4,077.00 / $5,177.79	Professional		$71.76	$4,077.00	$5,177.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $472.10 / $472.10 / $1,004.88	Facility		$472.10	$472.10	$1,004.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $505.66 / $3,481.20	Professional		$96.70	$505.66	$3,481.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $79.23 / $199.28	Professional		$40.98	$79.23	$199.28