Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.20 / $1,415.20 / $1,415.20	Facility		$1,415.20	$1,415.20	$1,415.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.42 / $1,415.20 / $1,415.20	Professional		$978.42	$1,415.20	$1,415.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,493.27 / $5,021.78 / $10,598.56	Facility		$2,493.27	$5,021.78	$10,598.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.12 / $1,853.95 / $2,244.26	Professional		$150.12	$1,853.95	$2,244.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $126.31 / $1,705.16	Facility		$122.03	$126.31	$1,705.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $155.46 / $2,331.84	Professional		$155.46	$155.46	$2,331.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $109.87 / $1,330.20	Professional		$109.87	$109.87	$1,330.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $995.48 / $995.48 / $1,415.20	Facility		$995.48	$995.48	$1,415.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $962.13 / $1,360.99 / $1,858.60	Professional		$962.13	$1,360.99	$1,858.60
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 $68.67 / $88.85 / $744.78	Professional		$68.67	$88.85	$744.78