Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.75 / $1,789.21 / $6,683.14	Facility		$1,315.75	$1,789.21	$6,683.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $1,782.23 / $2,101.89	Professional		$1,730.31	$1,782.23	$2,101.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,139.01 / $3,853.32 / $7,289.35	Facility		$2,139.01	$3,853.32	$7,289.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,168.09 / $1,229.58 / $1,229.58	Professional		$1,168.09	$1,229.58	$1,229.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,171.51 / $3,171.51 / $3,171.51	Facility		$3,171.51	$3,171.51	$3,171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.58 / $1,730.32 / $1,730.32	Professional		$684.58	$1,730.32	$1,730.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $2,236.51 / $5,582.33	Facility		$1,730.32	$2,236.51	$5,582.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $1,782.23 / $2,076.38	Professional		$1,730.31	$1,782.23	$2,076.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,920.84 / $1,989.86 / $1,997.66	Professional		$1,920.84	$1,989.86	$1,997.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,926.21 / $2,215.14	Professional		$1,730.32	$1,926.21	$2,215.14