Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.32 / $1,990.32 / $1,990.32	Facility		$1,990.32	$1,990.32	$1,990.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.93 / $1,990.32 / $2,002.30	Professional		$1,403.93	$1,990.32	$2,002.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,065.27 / $10,065.27 / $13,180.67	Facility		$10,065.27	$10,065.27	$13,180.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $2,607.37 / $3,705.21	Professional		$211.12	$2,607.37	$3,705.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $1,101.53 / $1,436.03	Facility		$169.90	$1,101.53	$1,436.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.11 / $209.11 / $3,063.12	Professional		$209.11	$209.11	$3,063.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $1,450.41	Facility		$1,450.41	$1,450.41	$1,450.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $2,045.63 / $3,787.50	Professional		$184.74	$2,045.63	$3,787.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,518.35 / $1,990.32 / $2,613.90	Professional		$1,518.35	$1,990.32	$2,613.90
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 $882.25 / $1,178.51 / $1,569.13	Professional		$882.25	$1,178.51	$1,569.13