Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.52 / $1,015.52 / $1,015.52	Facility		$1,015.52	$1,015.52	$1,015.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.60 / $1,013.60 / $1,015.52	Professional		$705.60	$1,013.60	$1,015.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,087.89 / $5,087.89 / $6,662.71	Facility		$5,087.89	$5,087.89	$6,662.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $1,040.53 / $1,872.95	Professional		$106.72	$1,040.53	$1,872.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $91.58 / $1,022.03	Facility		$85.88	$91.58	$1,022.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $112.71 / $1,539.48	Professional		$105.70	$112.71	$1,539.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.37 / $867.37 / $867.37	Facility		$867.37	$867.37	$867.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.62 / $867.37 / $1,102.99	Professional		$753.62	$867.37	$1,102.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $1,015.52 / $1,321.30	Professional		$132.13	$1,015.52	$1,321.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $82.89 / $753.62	Professional		$60.28	$82.89	$753.62
United Facility/Professional Professional Modifier Low / Median / High Price $513.16 / $694.48 / $1,100.40	Professional		$513.16	$694.48	$1,100.40