Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,389.12 / $5,389.12 / $5,389.12	Facility		$5,389.12	$5,389.12	$5,389.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,844.34 / $5,389.12 / $5,702.90	Professional		$3,844.34	$5,389.12	$5,702.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,096.38 / $26,765.94 / $35,687.93	Facility		$2,096.38	$26,765.94	$35,687.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.64 / $7,059.71 / $10,032.20	Professional		$571.64	$7,059.71	$10,032.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.26 / $465.24 / $3,932.60	Facility		$393.26	$465.24	$3,932.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.60 / $635.71 / $8,387.64	Professional		$572.60	$635.71	$8,387.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.27 / $5,106.14 / $8,298.75	Professional		$560.27	$5,106.14	$8,298.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $707.74 / $4,695.60 / $7,077.40	Professional		$707.74	$4,695.60	$7,077.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.37 / $277.37 / $277.37	Professional		$277.37	$277.37	$277.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,789.60 / $2,504.40 / $5,624.10	Professional		$1,789.60	$2,504.40	$5,624.10