Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.40 / $1,042.40 / $1,042.40	Facility		$1,042.40	$1,042.40	$1,042.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.02 / $1,042.40 / $1,090.59	Professional		$625.02	$1,042.40	$1,090.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,953.68 / $5,271.56 / $6,903.21	Facility		$3,953.68	$5,271.56	$6,903.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $1,365.58 / $1,940.56	Professional		$105.04	$1,365.58	$1,940.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $75.64 / $729.89	Facility		$72.98	$75.64	$729.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $1,604.28	Professional		$109.52	$109.52	$1,604.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $840.94	Facility		$840.94	$840.94	$840.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $840.94 / $1,586.25	Professional		$96.75	$840.94	$1,586.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $738.09 / $1,369.00	Professional		$73.81	$738.09	$1,369.00
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 $422.15 / $525.44 / $762.61	Professional		$422.15	$525.44	$762.61