Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.56 / $1,282.56 / $1,282.56	Facility		$1,282.56	$1,282.56	$1,282.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.74 / $1,282.56 / $1,301.20	Professional		$905.74	$1,282.56	$1,301.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,531.50 / $6,531.50 / $8,553.12	Facility		$6,531.50	$6,531.50	$8,553.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $1,691.96 / $2,404.36	Professional		$130.15	$1,691.96	$2,404.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.25 / $214.58 / $1,290.63	Facility		$110.25	$214.58	$1,290.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $263.76 / $1,976.16	Professional		$135.69	$263.76	$1,976.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $799.37	Facility		$799.37	$799.37	$799.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $799.37 / $1,965.00	Professional		$133.31	$799.37	$1,965.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $539.46 / $1,282.56 / $1,696.20	Professional		$539.46	$1,282.56	$1,696.20
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 $694.80 / $1,389.60 / $1,984.58	Professional		$694.80	$1,389.60	$1,984.58