Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.44 / $2,145.44 / $2,145.44	Facility		$2,145.44	$2,145.44	$2,145.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.33 / $2,145.44 / $2,158.90	Professional		$1,513.33	$2,145.44	$2,158.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,849.27 / $10,849.27 / $14,207.32	Facility		$10,849.27	$10,849.27	$14,207.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.19 / $2,218.79 / $3,993.81	Professional		$216.19	$2,218.79	$3,993.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.14 / $233.58 / $2,164.96	Facility		$183.14	$233.58	$2,164.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $225.40 / $287.49	Professional		$225.40	$225.40	$287.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $1,414.26 / $1,414.26	Facility		$213.28	$1,414.26	$1,414.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $1,414.26 / $2,205.37	Professional		$209.10	$1,414.26	$2,205.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,153.17 / $2,145.44 / $2,817.50	Professional		$1,153.17	$2,145.44	$2,817.50
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 $995.70 / $1,687.50 / $2,572.10	Professional		$995.70	$1,687.50	$2,572.10