Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.24 / $1,292.24 / $1,292.24	Facility		$1,292.24	$1,292.24	$1,292.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.10 / $1,292.24 / $1,352.20	Professional		$843.10	$1,292.24	$1,352.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,901.24 / $6,534.98 / $8,557.68	Facility		$4,901.24	$6,534.98	$8,557.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $1,269.65 / $2,405.65	Professional		$130.22	$1,269.65	$2,405.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $102.03 / $984.82	Facility		$93.76	$102.03	$984.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $126.04 / $1,846.32	Professional		$126.04	$126.04	$1,846.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $1,042.44	Facility		$1,042.44	$1,042.44	$1,042.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $1,398.50 / $2,090.63	Professional		$119.94	$1,398.50	$2,090.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $1,136.79 / $1,697.10	Professional		$169.71	$1,136.79	$1,697.10
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 $527.24 / $684.19 / $1,107.35	Professional		$527.24	$684.19	$1,107.35