Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.56 / $1,068.56 / $1,068.56	Facility		$1,068.56	$1,068.56	$1,068.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.72 / $1,068.56 / $1,093.70	Professional		$753.72	$1,068.56	$1,093.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $1,049.83 / $1,989.18	Professional		$147.35	$1,049.83	$1,989.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $771.00 / $1,078.27	Facility		$91.21	$771.00	$1,078.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $112.26 / $1,644.48	Professional		$112.26	$112.26	$1,644.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $606.51 / $606.51	Facility		$606.51	$606.51	$606.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $606.51 / $1,161.70	Professional		$122.23	$606.51	$1,161.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $1,014.07 / $1,403.30	Professional		$101.41	$1,014.07	$1,403.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $348.94 / $750.42	Professional		$61.54	$348.94	$750.42
United Facility/Professional Professional Modifier Low / Median / High Price $548.16 / $734.12 / $1,165.27	Professional		$548.16	$734.12	$1,165.27