Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.00 / $1,136.00 / $1,136.00	Facility		$1,136.00	$1,136.00	$1,136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.30 / $1,136.00 / $1,398.50	Professional		$801.30	$1,136.00	$1,398.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,308.31 / $5,744.42 / $7,522.43	Facility		$4,308.31	$5,744.42	$7,522.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $1,174.79 / $2,114.63	Professional		$120.49	$1,174.79	$2,114.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $114.08 / $1,054.67	Facility		$93.60	$114.08	$1,054.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $126.04 / $1,846.32	Professional		$126.04	$126.04	$1,846.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $650.25 / $2,160.94	Professional		$124.05	$650.25	$2,160.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $1,092.60 / $1,491.80	Professional		$186.44	$1,092.60	$1,491.80
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 $545.33 / $707.47 / $1,145.13	Professional		$545.33	$707.47	$1,145.13