Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,305.84 / $3,305.84 / $3,305.84	Facility		$3,305.84	$3,305.84	$3,305.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,438.32 / $3,305.84 / $3,617.20	Professional		$2,438.32	$3,305.84	$3,617.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,285.98 / $16,419.12 / $21,892.12	Facility		$1,285.98	$16,419.12	$21,892.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $4,330.64 / $6,154.08	Professional		$350.66	$4,330.64	$6,154.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.44 / $285.12 / $2,494.35	Facility		$249.44	$285.12	$2,494.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.18 / $363.18 / $5,319.96	Professional		$363.18	$363.18	$5,319.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $2,225.05	Facility		$2,225.05	$2,225.05	$2,225.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $2,225.05 / $5,261.25	Professional		$343.68	$2,225.05	$5,261.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,247.60 / $3,305.84 / $4,341.50	Professional		$2,247.60	$3,305.84	$4,341.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,701.56 / $1,701.56 / $1,701.56	Professional		$1,701.56	$1,701.56	$1,701.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.22 / $1,433.05 / $2,610.23	Professional		$1,149.22	$1,433.05	$2,610.23