Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.16 / $1,346.16 / $1,346.16	Facility		$1,346.16	$1,346.16	$1,346.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.56 / $1,197.30 / $1,346.16	Professional		$923.56	$1,197.30	$1,346.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,105.72 / $6,807.61 / $8,914.70	Facility		$5,105.72	$6,807.61	$8,914.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $1,392.23 / $2,506.01	Professional		$142.79	$1,392.23	$2,506.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $107.86 / $1,078.64	Facility		$97.68	$107.86	$1,078.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $141.43 / $2,071.80	Professional		$141.43	$141.43	$2,071.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $1,470.00 / $2,564.06	Professional		$124.95	$1,470.00	$2,564.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $953.46 / $1,767.90	Professional		$95.35	$953.46	$1,767.90
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 $549.10 / $678.58 / $1,150.99	Professional		$549.10	$678.58	$1,150.99