Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.24 / $1,976.24 / $1,976.24	Facility		$1,976.24	$1,976.24	$1,976.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.98 / $1,976.24 / $2,068.00	Professional		$1,393.98	$1,976.24	$2,068.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,495.23 / $9,993.65 / $13,086.88	Facility		$7,495.23	$9,993.65	$13,086.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $2,588.82 / $3,678.84	Professional		$199.14	$2,588.82	$3,678.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.83 / $168.69 / $2,277.38	Facility		$162.83	$168.69	$2,277.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $207.62 / $3,114.36	Professional		$207.62	$207.62	$3,114.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $1,436.52 / $1,436.52	Facility		$192.60	$1,436.52	$1,436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,436.52 / $1,640.47 / $3,007.50	Professional		$1,436.52	$1,640.47	$3,007.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,297.38 / $1,875.40 / $2,595.30	Professional		$1,297.38	$1,875.40	$2,595.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $180.45 / $1,640.47	Professional		$131.24	$180.45	$1,640.47
United Facility/Professional Professional Modifier Low / Median / High Price $875.99 / $1,092.43 / $1,727.26	Professional		$875.99	$1,092.43	$1,727.26