Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.16 / $1,162.16 / $1,162.16	Facility		$1,162.16	$1,162.16	$1,162.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.63 / $1,162.16 / $1,430.70	Professional		$839.63	$1,162.16	$1,430.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,407.97 / $5,877.29 / $7,696.42	Facility		$4,407.97	$5,877.29	$7,696.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $1,522.49 / $2,163.54	Professional		$117.12	$1,522.49	$2,163.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $101.61 / $980.71	Facility		$98.07	$101.61	$980.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $143.65 / $2,104.19	Professional		$143.65	$143.65	$2,104.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $860.04 / $2,081.25	Professional		$126.91	$860.04	$2,081.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $1,117.75 / $1,526.30	Professional		$491.54	$1,117.75	$1,526.30
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 $553.94 / $689.49 / $1,000.57	Professional		$553.94	$689.49	$1,000.57