Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.08 / $1,386.08 / $1,386.08	Facility		$1,386.08	$1,386.08	$1,386.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.38 / $1,386.08 / $1,386.08	Professional		$958.38	$1,386.08	$1,386.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,441.90 / $4,918.30 / $10,380.19	Facility		$2,441.90	$4,918.30	$10,380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $1,911.32 / $2,580.28	Professional		$147.02	$1,911.32	$2,580.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $123.73 / $1,670.41	Facility		$119.55	$123.73	$1,670.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.29 / $152.29 / $2,284.32	Professional		$152.29	$152.29	$2,284.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $107.63 / $1,302.90	Professional		$107.63	$107.63	$1,302.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $975.07 / $975.07 / $1,386.08	Facility		$975.07	$975.07	$1,386.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $951.60 / $1,333.02 / $1,820.30	Professional		$951.60	$1,333.02	$1,820.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $6.81 / $30.00	Professional		$5.11	$6.81	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $87.02 / $808.54	Professional		$67.27	$87.02	$808.54