Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.23 / $2,052.23 / $2,052.23	Facility		$2,052.23	$2,052.23	$2,052.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.60 / $2,052.23 / $2,147.50	Professional		$1,447.60	$2,052.23	$2,147.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,783.73 / $10,378.31 / $13,590.60	Facility		$7,783.73	$10,378.31	$13,590.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $2,688.46 / $3,820.45	Professional		$217.69	$2,688.46	$3,820.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.19 / $175.50 / $2,365.04	Facility		$175.19	$175.50	$2,365.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.62 / $215.62 / $3,234.24	Professional		$215.62	$215.62	$3,234.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $1,208.78 / $2,241.00	Professional		$200.01	$1,208.78	$2,241.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $737.82 / $1,947.61 / $2,695.20	Professional		$737.82	$1,947.61	$2,695.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $187.39 / $1,703.65	Professional		$136.28	$187.39	$1,703.65
United Facility/Professional Professional Modifier Low / Median / High Price $909.68 / $1,144.74 / $1,729.69	Professional		$909.68	$1,144.74	$1,729.69