Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.78 / $1,498.78 / $1,498.78	Facility		$1,498.78	$1,498.78	$1,498.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.99 / $1,498.78 / $1,508.91	Professional		$963.99	$1,498.78	$1,508.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.28 / $6,502.26 / $8,669.68	Facility		$509.28	$6,502.26	$8,669.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $1,715.02 / $2,437.13	Professional		$138.87	$1,715.02	$2,437.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.30 / $902.84 / $1,523.08	Facility		$105.30	$902.84	$1,523.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $1,083.17 / $1,444.22	Professional		$144.41	$1,083.17	$1,444.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,629.32	Facility		$1,217.05	$1,217.05	$1,629.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.05 / $1,455.57 / $2,685.94	Professional		$1,217.05	$1,455.57	$2,685.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.51 / $1,574.54 / $2,707.92	Professional		$1,023.51	$1,574.54	$2,707.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $178.32 / $1,621.25	Professional		$132.93	$178.32	$1,621.25
United Facility/Professional Professional Modifier Low / Median / High Price $738.05 / $1,066.08 / $1,601.52	Professional		$738.05	$1,066.08	$1,601.52