Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,131.44 / $3,131.44 / $3,131.44	Facility		$3,131.44	$3,131.44	$3,131.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,213.37 / $3,131.44 / $3,183.50	Professional		$2,213.37	$3,131.44	$3,183.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,868.22 / $15,868.22 / $20,779.74	Facility		$15,868.22	$15,868.22	$20,779.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $3,082.95 / $5,841.38	Professional		$316.20	$3,082.95	$5,841.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.86 / $3,151.28 / $3,278.72	Facility		$267.86	$3,151.28	$3,278.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.67 / $329.67 / $4,829.16	Professional		$329.67	$329.67	$4,829.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,399.94 / $2,399.94 / $2,399.94	Facility		$2,399.94	$2,399.94	$2,399.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.90 / $2,399.94 / $3,225.42	Professional		$355.90	$2,399.94	$3,225.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,045.76 / $3,131.44 / $4,120.89	Professional		$2,045.76	$3,131.44	$4,120.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $259.73 / $2,361.25	Professional		$188.89	$259.73	$2,361.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,609.72 / $2,155.91 / $3,422.09	Professional		$1,609.72	$2,155.91	$3,422.09