Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,942.86 / $1,942.86 / $1,942.86	Facility		$1,942.86	$1,942.86	$1,942.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.86 / $1,942.86 / $2,024.55	Professional		$1,323.86	$1,942.86	$2,024.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.39 / $8,929.68 / $11,906.25	Facility		$699.39	$8,929.68	$11,906.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.17 / $257.45 / $3,346.96	Professional		$181.17	$257.45	$3,346.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.11 / $1,208.61 / $2,082.48	Facility		$134.11	$1,208.61	$2,082.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $1,487.54 / $1,983.38	Professional		$198.34	$1,487.54	$1,983.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $2,111.63	Facility		$1,772.06	$1,772.06	$2,111.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,772.06 / $1,913.55 / $2,831.25	Professional		$1,772.06	$1,913.55	$2,831.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $1,942.86 / $3,718.85	Professional		$247.92	$1,942.86	$3,718.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $217.72 / $1,979.26	Professional		$162.30	$217.72	$1,979.26
United Facility/Professional Facility Modifier Low / Median / High Price $150.84 / $1,131.32 / $1,791.25	Facility		$150.84	$1,131.32	$1,791.25
United Facility/Professional Professional Modifier Low / Median / High Price $913.04 / $1,290.91 / $1,886.93	Professional		$913.04	$1,290.91	$1,886.93