Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.35 / $1,165.35 / $1,165.35	Facility		$1,165.35	$1,165.35	$1,165.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.72 / $1,165.35 / $1,219.40	Professional		$698.72	$1,165.35	$1,219.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,420.09 / $5,893.46 / $7,717.60	Facility		$4,420.09	$5,893.46	$7,717.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $1,205.27 / $2,169.48	Professional		$123.62	$1,205.27	$2,169.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $99.48 / $919.44	Facility		$81.61	$99.48	$919.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.44 / $122.44 / $1,793.52	Professional		$122.44	$122.44	$1,793.52
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 $105.06 / $469.00 / $1,706.25	Professional		$105.06	$469.00	$1,706.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $696.81 / $1,120.68 / $1,530.50	Professional		$696.81	$1,120.68	$1,530.50
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 $495.26 / $572.13 / $884.52	Professional		$495.26	$572.13	$884.52