Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,275.28 / $2,275.28 / $2,275.28	Facility		$2,275.28	$2,275.28	$2,275.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.90 / $2,275.28 / $2,380.69	Professional		$1,604.90	$2,275.28	$2,380.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,629.34 / $11,505.79 / $15,067.05	Facility		$8,629.34	$11,505.79	$15,067.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $2,980.53 / $4,235.49	Professional		$241.34	$2,980.53	$4,235.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.22 / $201.83 / $2,621.97	Facility		$194.22	$201.83	$2,621.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $239.04 / $3,585.60	Professional		$239.04	$239.04	$3,585.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,219.64 / $1,219.64	Facility		$1,219.64	$1,219.64	$1,219.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.74 / $1,219.64 / $2,484.50	Professional		$221.74	$1,219.64	$2,484.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,319.45 / $2,159.10 / $2,988.00	Professional		$1,319.45	$2,159.10	$2,988.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $207.33 / $1,884.93	Professional		$150.79	$207.33	$1,884.93
United Facility/Professional Professional Modifier Low / Median / High Price $976.19 / $1,347.20 / $1,988.49	Professional		$976.19	$1,347.20	$1,988.49