Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,532.08 / $4,532.08 / $4,532.08	Facility		$4,532.08	$4,532.08	$4,532.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.80 / $4,532.08 / $4,742.30	Professional		$3,000.80	$4,532.08	$4,742.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,762.98 / $22,509.47 / $30,012.60	Facility		$1,762.98	$22,509.47	$30,012.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.69 / $4,687.13 / $8,436.83	Professional		$456.69	$4,687.13	$8,436.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.97 / $346.59 / $3,069.70	Facility		$306.97	$346.59	$3,069.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $476.15 / $476.15 / $6,974.88	Professional		$476.15	$476.15	$6,974.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $3,655.97	Facility		$3,655.97	$3,655.97	$3,655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.57 / $3,655.97 / $5,865.00	Professional		$408.57	$3,655.97	$5,865.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,975.28 / $4,532.08 / $5,951.90	Professional		$2,975.28	$4,532.08	$5,951.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.70 / $227.70 / $227.70	Professional		$227.70	$227.70	$227.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.72 / $1,896.92 / $3,578.32	Professional		$1,506.72	$1,896.92	$3,578.32