Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,481.20 / $3,481.20 / $3,481.20	Facility		$3,481.20	$3,481.20	$3,481.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,409.61 / $3,461.60 / $3,481.20	Professional		$2,409.61	$3,461.60	$3,481.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,032.37 / $17,066.14 / $22,754.88	Facility		$13,032.37	$17,066.14	$22,754.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.48 / $4,501.32 / $6,396.61	Professional		$364.48	$4,501.32	$6,396.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.32 / $317.25 / $3,503.42	Facility		$293.32	$317.25	$3,503.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.01 / $390.46 / $5,257.32	Professional		$361.01	$390.46	$5,257.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,244.00	Facility		$2,200.00	$2,200.00	$2,244.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,244.00 / $3,948.50	Professional		$2,200.00	$2,244.00	$3,948.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,395.50 / $3,527.29 / $4,512.60	Professional		$2,395.50	$3,527.29	$4,512.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $371.49 / $3,714.97	Professional		$30.00	$371.49	$3,714.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.44 / $2,452.00 / $3,629.57	Professional		$1,752.44	$2,452.00	$3,629.57