Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.48 / $1,028.48 / $1,028.48	Facility		$1,028.48	$1,028.48	$1,028.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.47 / $1,028.48 / $1,039.30	Professional		$723.47	$1,028.48	$1,039.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,912.68 / $5,123.72 / $6,831.61	Facility		$3,912.68	$5,123.72	$6,831.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $1,351.41 / $1,920.43	Professional		$103.96	$1,351.41	$1,920.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $89.53 / $1,034.92	Facility		$88.06	$89.53	$1,034.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $110.19 / $1,578.48	Professional		$108.38	$110.19	$1,578.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $833.40	Facility		$833.40	$833.40	$833.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $833.40 / $1,078.05	Professional		$116.30	$833.40	$1,078.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $995.38 / $1,354.80	Professional		$135.47	$995.38	$1,354.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $736.59 / $736.59	Professional		$453.00	$736.59	$736.59
United Facility/Professional Professional Modifier Low / Median / High Price $526.16 / $720.59 / $1,055.35	Professional		$526.16	$720.59	$1,055.35