Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,521.04 / $4,521.04 / $4,521.04	Facility		$4,521.04	$4,521.04	$4,521.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,196.11 / $4,521.04 / $4,591.50	Professional		$3,196.11	$4,521.04	$4,591.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,978.09 / $22,978.09 / $30,090.25	Facility		$22,978.09	$22,978.09	$30,090.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.87 / $4,699.25 / $8,458.65	Professional		$457.87	$4,699.25	$8,458.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $387.87 / $387.89 / $4,549.58	Facility		$387.87	$387.89	$4,549.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.38 / $477.40 / $6,973.32	Professional		$477.38	$477.40	$6,973.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,642.21 / $1,642.21	Facility		$1,642.21	$1,642.21	$1,642.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $1,642.21 / $6,918.75	Professional		$470.42	$1,642.21	$6,918.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,430.06 / $4,312.34 / $5,967.30	Professional		$2,430.06	$4,312.34	$5,967.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $433.29 / $595.78 / $5,416.25	Professional		$433.29	$595.78	$5,416.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,324.44 / $3,007.26 / $4,615.85	Professional		$2,324.44	$3,007.26	$4,615.85