Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,548.08 / $2,548.08 / $2,548.08	Facility		$2,548.08	$2,548.08	$2,548.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.61 / $2,548.08 / $2,782.40	Professional		$1,875.61	$2,548.08	$2,782.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $3,337.94 / $4,743.39	Professional		$270.27	$3,337.94	$4,743.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.77 / $226.98 / $3,948.75	Facility		$219.77	$226.98	$3,948.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $279.36 / $4,092.24	Professional		$279.36	$279.36	$4,092.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $2,160.00	Facility		$2,160.00	$2,160.00	$2,160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $2,160.00 / $2,904.98	Professional		$259.39	$2,160.00	$2,904.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,469.72 / $2,220.44 / $3,346.30	Professional		$1,469.72	$2,220.44	$3,346.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $976.31 / $2,099.61	Professional		$172.16	$976.31	$2,099.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,140.48 / $1,305.52 / $2,226.07	Professional		$1,140.48	$1,305.52	$2,226.07