Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.57 / $1,060.57 / $1,060.57	Facility		$1,060.57	$1,060.57	$1,060.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,060.57 / $1,060.57	Professional		$897.00	$1,060.57	$1,060.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Facility		$104.22	$104.22	$104.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $111.46 / $130.28	Professional		$99.01	$111.46	$130.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $731.88	Facility		$709.00	$709.00	$731.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,060.57 / $1,060.57 / $1,060.57	Facility		$1,060.57	$1,060.57	$1,060.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $433.77 / $1,060.57 / $1,114.00	Professional		$433.77	$1,060.57	$1,114.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00