Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.44 / $1,743.44 / $1,743.44	Facility		$1,743.44	$1,743.44	$1,743.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.80 / $1,743.44 / $1,824.30	Professional		$1,229.80	$1,743.44	$1,824.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,612.66 / $8,816.89 / $11,545.88	Facility		$6,612.66	$8,816.89	$11,545.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $1,803.14 / $3,245.66	Professional		$249.67	$1,803.14	$3,245.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.65 / $148.83 / $2,009.22	Facility		$143.65	$148.83	$2,009.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $183.18 / $2,747.64	Professional		$183.18	$183.18	$2,747.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $975.26 / $975.26	Facility		$975.26	$975.26	$975.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $975.26 / $1,903.80	Professional		$169.91	$975.26	$1,903.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $869.30 / $1,654.59 / $2,289.69	Professional		$869.30	$1,654.59	$2,289.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $119.53 / $1,086.63	Professional		$86.93	$119.53	$1,086.63
United Facility/Professional Professional Modifier Low / Median / High Price $772.80 / $1,032.40 / $1,605.99	Professional		$772.80	$1,032.40	$1,605.99