Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.24 / $1,344.24 / $1,344.24	Facility		$1,344.24	$1,344.24	$1,344.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.76 / $1,344.24 / $1,344.24	Professional		$873.76	$1,344.24	$1,344.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,368.25 / $4,769.95 / $10,067.10	Facility		$2,368.25	$4,769.95	$10,067.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $1,853.67 / $2,502.44	Professional		$142.59	$1,853.67	$2,502.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $114.75 / $1,316.78	Facility		$97.54	$114.75	$1,316.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $141.22 / $2,118.48	Professional		$141.22	$141.22	$2,118.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $2,047.50	Professional		$99.82	$99.82	$2,047.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $945.62 / $945.62 / $1,344.24	Facility		$945.62	$945.62	$1,344.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $1,087.46 / $1,765.40	Professional		$176.54	$1,087.46	$1,765.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $158.61 / $1,395.79	Professional		$101.51	$158.61	$1,395.79
United Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $84.40 / $749.78	Professional		$62.39	$84.40	$749.78