Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.32 / $1,302.32 / $1,302.32	Facility		$1,302.32	$1,302.32	$1,302.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.29 / $1,302.32 / $1,461.20	Professional		$901.29	$1,302.32	$1,461.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,939.38 / $6,585.81 / $8,624.25	Facility		$4,939.38	$6,585.81	$8,624.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $1,706.03 / $2,424.36	Professional		$138.13	$1,706.03	$2,424.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.32 / $109.07 / $1,101.96	Facility		$101.32	$109.07	$1,101.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $145.59 / $2,132.64	Professional		$145.59	$145.59	$2,132.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $511.03	Facility		$511.03	$511.03	$511.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $511.03 / $1,807.50	Professional		$125.89	$511.03	$1,807.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $1,190.94 / $1,710.30	Professional		$171.03	$1,190.94	$1,710.30
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 $593.37 / $685.64 / $986.77	Professional		$593.37	$685.64	$986.77