Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.12 / $1,341.12 / $1,341.12	Facility		$1,341.12	$1,341.12	$1,341.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.00 / $1,273.20 / $1,341.12	Professional		$946.00	$1,273.20	$1,341.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,086.66 / $6,782.19 / $8,881.41	Facility		$5,086.66	$6,782.19	$8,881.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.15 / $1,756.90 / $2,496.65	Professional		$135.15	$1,756.90	$2,496.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.88 / $114.48 / $1,105.02	Facility		$104.88	$114.48	$1,105.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $140.90 / $2,064.00	Professional		$140.90	$140.90	$2,064.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $1,457.58 / $2,198.44	Professional		$120.90	$1,457.58	$2,198.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $943.41 / $1,761.30	Professional		$176.13	$943.41	$1,761.30
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 $543.46 / $658.51 / $981.36	Professional		$543.46	$658.51	$981.36