Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,399.43 / $4,399.43 / $4,399.43	Facility		$4,399.43	$4,399.43	$4,399.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,100.02 / $4,399.43 / $4,453.39	Professional		$3,100.02	$4,399.43	$4,453.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,765.98 / $21,955.37 / $29,273.85	Facility		$16,765.98	$21,955.37	$29,273.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.46 / $4,343.16 / $6,171.86	Professional		$445.46	$4,343.16	$6,171.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.35 / $381.12 / $4,427.25	Facility		$377.35	$381.12	$4,427.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.43 / $469.07 / $6,763.68	Professional		$464.43	$469.07	$6,763.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $3,282.89 / $3,282.89	Facility		$3,282.89	$3,282.89	$3,282.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.23 / $3,282.89 / $4,869.05	Professional		$498.23	$3,282.89	$4,869.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,481.26 / $4,399.43 / $5,805.40	Professional		$3,481.26	$4,399.43	$5,805.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $461.13 / $4,611.39	Professional		$30.00	$461.13	$4,611.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,254.56 / $2,859.96 / $4,869.05	Professional		$2,254.56	$2,859.96	$4,869.05