Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.32 / $1,104.32 / $1,104.32	Facility		$1,104.32	$1,104.32	$1,104.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.15 / $1,104.32 / $1,155.50	Professional		$662.15	$1,104.32	$1,155.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,188.50 / $5,584.64 / $7,313.19	Facility		$4,188.50	$5,584.64	$7,313.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $1,142.11 / $2,055.81	Professional		$117.14	$1,142.11	$2,055.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $80.13 / $773.40	Facility		$77.34	$80.13	$773.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $116.02 / $1,699.56	Professional		$116.02	$116.02	$1,699.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $999.36	Facility		$999.36	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $999.36 / $1,428.75	Professional		$99.55	$999.36	$1,428.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $776.82 / $1,450.30	Professional		$145.03	$776.82	$1,450.30
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 $450.52 / $542.21 / $946.40	Professional		$450.52	$542.21	$946.40