Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.52 / $1,619.52 / $1,619.52	Facility		$1,619.52	$1,619.52	$1,619.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.34 / $1,619.52 / $1,658.10	Professional		$1,142.34	$1,619.52	$1,658.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,189.59 / $8,189.59 / $10,724.43	Facility		$8,189.59	$8,189.59	$10,724.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $1,591.12 / $3,014.74	Professional		$171.78	$1,591.12	$3,014.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $1,168.57 / $1,634.17	Facility		$138.24	$1,168.57	$1,634.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $170.14 / $2,492.40	Professional		$170.14	$170.14	$2,492.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $1,218.64 / $2,463.75	Professional		$169.88	$1,218.64	$2,463.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $265.85 / $1,536.97 / $2,126.80	Professional		$265.85	$1,536.97	$2,126.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $134.04 / $1,218.64	Professional		$97.48	$134.04	$1,218.64
United Facility/Professional Professional Modifier Low / Median / High Price $830.80 / $1,112.66 / $1,797.10	Professional		$830.80	$1,112.66	$1,797.10