Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.20 / $1,163.20 / $1,163.20	Facility		$1,163.20	$1,163.20	$1,163.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.73 / $1,160.40 / $1,163.20	Professional		$807.73	$1,160.40	$1,163.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,824.52 / $5,824.52 / $7,627.32	Facility		$5,824.52	$5,824.52	$7,627.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $1,508.82 / $2,144.11	Professional		$150.88	$1,508.82	$2,144.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $105.09 / $1,170.58	Facility		$98.32	$105.09	$1,170.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.01 / $129.34 / $1,762.32	Professional		$121.01	$129.34	$1,762.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $642.26	Facility		$642.26	$642.26	$642.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.26 / $642.26 / $1,265.13	Professional		$642.26	$642.26	$1,265.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $1,163.20 / $1,512.60	Professional		$116.81	$1,163.20	$1,512.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $691.53 / $864.42 / $864.42	Professional		$691.53	$864.42	$864.42
United Facility/Professional Professional Modifier Low / Median / High Price $587.44 / $845.63 / $1,208.97	Professional		$587.44	$845.63	$1,208.97