Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.96 / $1,062.96 / $1,062.96	Facility		$1,062.96	$1,062.96	$1,062.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.03 / $972.60 / $1,062.96	Professional		$569.03	$972.60	$1,062.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.64 / $4,029.98 / $5,373.31	Facility		$315.64	$4,029.98	$5,373.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $1,062.94 / $1,510.49	Professional		$81.77	$1,062.94	$1,510.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $156.47 / $1,564.65	Facility		$69.26	$156.47	$1,564.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $1,278.72	Professional		$85.25	$85.25	$1,278.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $968.40	Facility		$816.59	$816.59	$968.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $816.59 / $1,099.28	Professional		$96.84	$816.59	$1,099.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $724.49 / $1,065.59	Professional		$106.56	$724.49	$1,065.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $543.37 / $724.49	Professional		$59.40	$543.37	$724.49
United Facility/Professional Professional Modifier Low / Median / High Price $421.71 / $580.65 / $1,039.08	Professional		$421.71	$580.65	$1,039.08