Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.44 / $1,081.44 / $1,081.44	Facility		$1,081.44	$1,081.44	$1,081.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.60 / $961.90 / $1,081.44	Professional		$672.60	$961.90	$1,081.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,101.54 / $5,468.71 / $7,161.39	Facility		$4,101.54	$5,468.71	$7,161.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $1,118.41 / $2,013.13	Professional		$108.97	$1,118.41	$2,013.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $81.39 / $785.64	Facility		$78.47	$81.39	$785.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $113.62 / $1,664.28	Professional		$113.62	$113.62	$1,664.28
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 $109.71 / $999.36 / $1,646.25	Professional		$109.71	$999.36	$1,646.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $1,002.33 / $1,420.20	Professional		$627.00	$1,002.33	$1,420.20
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 $441.28 / $545.41 / $791.28	Professional		$441.28	$545.41	$791.28