Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.59 / $1,083.59 / $1,083.59	Facility		$1,083.59	$1,083.59	$1,083.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.34 / $1,083.59 / $1,133.70	Professional		$764.34	$1,083.59	$1,133.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,109.93 / $5,479.90 / $7,176.03	Facility		$4,109.93	$5,479.90	$7,176.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $1,419.55 / $2,017.25	Professional		$109.19	$1,419.55	$2,017.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $89.27 / $892.65	Facility		$78.62	$89.27	$892.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $113.85 / $1,667.64	Professional		$113.85	$113.85	$1,667.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $450.00 / $1,410.00	Professional		$97.68	$450.00	$1,410.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $996.17 / $1,423.10	Professional		$177.81	$996.17	$1,423.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.03 / $546.22 / $793.00	Professional		$442.03	$546.22	$793.00