Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,635.28 / $2,635.28 / $2,635.28	Facility		$2,635.28	$2,635.28	$2,635.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,161.94 / $2,635.28 / $2,997.00	Professional		$2,161.94	$2,635.28	$2,997.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,315.22 / $10,401.82 / $19,735.62	Facility		$5,315.22	$10,401.82	$19,735.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.52 / $3,452.25 / $4,905.83	Professional		$279.52	$3,452.25	$4,905.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.70 / $261.63 / $2,446.29	Facility		$249.70	$261.63	$2,446.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.87 / $307.87 / $307.87	Professional		$307.87	$307.87	$307.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.76 / $2,855.17 / $5,170.31	Professional		$287.76	$2,855.17	$5,170.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,196.26 / $2,196.26 / $2,635.28	Facility		$2,196.26	$2,196.26	$2,635.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,866.82 / $2,635.28 / $3,460.90	Professional		$1,866.82	$2,635.28	$3,460.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $218.76 / $240.63	Professional		$175.00	$218.76	$240.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.16 / $1,522.04 / $2,268.62	Professional		$1,256.16	$1,522.04	$2,268.62