Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,175.20 / $5,175.20 / $5,175.20	Facility		$5,175.20	$5,175.20	$5,175.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,650.46 / $5,175.20 / $5,415.20	Professional		$3,650.46	$5,175.20	$5,415.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.50 / $5,352.25 / $9,634.04	Professional		$521.50	$5,352.25	$9,634.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.77 / $4,257.41 / $5,222.18	Facility		$441.77	$4,257.41	$5,222.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $543.72 / $543.72 / $7,964.64	Professional		$543.72	$543.72	$7,964.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $2,900.00 / $2,958.00	Facility		$2,900.00	$2,900.00	$2,958.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,900.00 / $2,958.00 / $5,319.27	Professional		$2,900.00	$2,958.00	$5,319.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,781.67 / $4,911.31 / $6,796.50	Professional		$2,781.67	$4,911.31	$6,796.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.38 / $1,920.37 / $4,129.84	Professional		$330.38	$1,920.37	$4,129.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,294.04 / $3,098.84 / $4,522.72	Professional		$2,294.04	$3,098.84	$4,522.72