Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.60 / $1,727.60 / $1,727.60	Facility		$1,727.60	$1,727.60	$1,727.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.64 / $1,727.60 / $2,126.80	Professional		$1,218.64	$1,727.60	$2,126.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $2,263.23 / $3,216.17	Professional		$174.10	$2,263.23	$3,216.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.47 / $153.60 / $1,246.69	Facility		$147.47	$153.60	$1,246.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $181.51 / $2,658.84	Professional		$181.51	$181.51	$2,658.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $1,639.62 / $1,775.91	Professional		$198.09	$1,639.62	$1,775.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,218.64 / $1,727.60 / $2,268.90	Professional		$1,218.64	$1,727.60	$2,268.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $666.95 / $1,434.31	Professional		$117.60	$666.95	$1,434.31
United Facility/Professional Professional Modifier Low / Median / High Price $901.03 / $1,065.55 / $1,795.23	Professional		$901.03	$1,065.55	$1,795.23