Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.44 / $1,363.44 / $1,363.44	Facility		$1,363.44	$1,363.44	$1,363.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.34 / $1,363.44 / $1,426.70	Professional		$1,011.34	$1,363.44	$1,426.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,171.26 / $6,895.00 / $9,029.14	Facility		$5,171.26	$6,895.00	$9,029.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $1,410.10 / $2,538.17	Professional		$144.63	$1,410.10	$2,538.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.39 / $122.39 / $1,571.25	Facility		$116.39	$122.39	$1,571.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $143.25 / $2,098.32	Professional		$143.25	$143.25	$2,098.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Facility		$396.70	$396.70	$396.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $396.70 / $2,077.50	Professional		$148.88	$396.70	$2,077.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $179.06 / $1,311.28 / $1,790.60	Professional		$179.06	$1,311.28	$1,790.60
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 $649.98 / $808.80 / $1,217.41	Professional		$649.98	$808.80	$1,217.41