Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.16 / $1,078.16 / $1,078.16	Facility		$1,078.16	$1,078.16	$1,078.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.28 / $1,078.16 / $1,128.09	Professional		$671.28	$1,078.16	$1,128.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,089.15 / $5,452.17 / $7,139.73	Facility		$4,089.15	$5,452.17	$7,139.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $1,412.37 / $2,007.05	Professional		$114.36	$1,412.37	$2,007.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $81.23 / $850.74	Facility		$78.23	$81.23	$850.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $113.27 / $1,659.24	Professional		$113.27	$113.27	$1,659.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $344.45	Facility		$344.45	$344.45	$344.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $344.45 / $1,642.50	Professional		$100.06	$344.45	$1,642.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $758.36 / $1,415.90	Professional		$75.84	$758.36	$1,415.90
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 $439.96 / $529.34 / $924.09	Professional		$439.96	$529.34	$924.09