Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,530.43 / $3,064.14	Facility		$1,214.63	$1,530.43	$3,064.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,214.63 / $1,588.00	Professional		$960.00	$1,214.63	$1,588.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,459.21 / $2,697.39 / $5,033.93	Facility		$1,459.21	$2,697.39	$5,033.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.40 / $1,234.10 / $1,666.05	Professional		$1,172.40	$1,234.10	$1,666.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,463.48 / $1,530.43	Professional		$1,238.93	$1,463.48	$1,530.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.51 / $1,238.93 / $1,238.93	Professional		$953.51	$1,238.93	$1,238.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,457.56 / $3,379.71	Facility		$1,214.63	$1,457.56	$3,379.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,094.38 / $1,237.20 / $1,545.01	Professional		$1,094.38	$1,237.20	$1,545.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $1,287.51 / $1,931.26	Professional		$50.00	$1,287.51	$1,931.26
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,239.04	Professional		$485.85	$1,214.63	$1,239.04