Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.52 / $1,245.52 / $1,245.52	Facility		$1,245.52	$1,245.52	$1,245.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.04 / $1,245.52 / $1,303.40	Professional		$772.04	$1,245.52	$1,303.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,723.92 / $6,298.55 / $8,248.07	Facility		$4,723.92	$6,298.55	$8,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $1,631.62 / $2,318.61	Professional		$125.50	$1,631.62	$2,318.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $93.43 / $982.89	Facility		$90.17	$93.43	$982.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $130.86 / $1,916.88	Professional		$130.86	$130.86	$1,916.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $1,348.00 / $2,371.88	Professional		$115.61	$1,348.00	$2,371.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $876.20 / $1,635.70	Professional		$87.62	$876.20	$1,635.70
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 $508.19 / $627.98 / $911.41	Professional		$508.19	$627.98	$911.41