Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.59 / $1,225.59 / $1,225.59	Facility		$1,225.59	$1,225.59	$1,225.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.65 / $1,225.59 / $1,243.59	Professional		$865.65	$1,225.59	$1,243.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,242.70 / $6,242.70 / $8,174.93	Facility		$6,242.70	$6,242.70	$8,174.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $1,617.15 / $2,298.05	Professional		$124.39	$1,617.15	$2,298.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $105.43 / $1,233.41	Facility		$105.38	$105.43	$1,233.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $129.76 / $1,888.68	Professional		$129.69	$129.76	$1,888.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $902.06	Facility		$902.06	$902.06	$902.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $902.06 / $1,269.43	Professional		$139.08	$902.06	$1,269.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $650.51 / $1,172.07 / $1,621.20	Professional		$650.51	$1,172.07	$1,621.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $102.22 / $929.31	Professional		$74.34	$102.22	$929.31
United Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $680.15 / $1,215.90	Facility		$86.31	$680.15	$1,215.90
United Facility/Professional Professional Modifier Low / Median / High Price $629.55 / $863.14 / $1,346.83	Professional		$629.55	$863.14	$1,346.83