Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $3,864.00	Facility		$3,864.00	$3,864.00	$3,864.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,787.18 / $3,864.00 / $3,864.00	Professional		$2,787.18	$3,864.00	$3,864.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,807.35 / $13,710.86 / $28,937.08	Facility		$6,807.35	$13,710.86	$28,937.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.37 / $4,262.58 / $6,127.46	Professional		$389.37	$4,262.58	$6,127.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $273.66 / $346.35 / $347.57	Facility		$273.66	$346.35	$347.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $427.78 / $427.78 / $6,524.76	Professional		$427.78	$427.78	$6,524.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $396.83 / $6,734.93	Professional		$248.35	$396.83	$6,734.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,718.17 / $2,718.17 / $3,864.00	Facility		$2,718.17	$2,718.17	$3,864.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,627.11 / $3,669.52 / $5,074.50	Professional		$2,627.11	$3,669.52	$5,074.50
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 $188.97 / $242.60 / $2,271.23	Professional		$188.97	$242.60	$2,271.23