Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.58 / $1,321.58 / $1,321.58	Facility		$1,321.58	$1,321.58	$1,321.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.29 / $1,306.29 / $1,321.58	Professional		$909.29	$1,306.29	$1,321.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.38 / $6,133.39 / $8,177.81	Facility		$480.38	$6,133.39	$8,177.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $1,277.15 / $2,298.86	Professional		$124.44	$1,277.15	$2,298.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.47 / $830.15 / $1,494.30	Facility		$103.47	$830.15	$1,494.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $1,021.72 / $1,362.29	Professional		$136.22	$1,021.72	$1,362.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,974.00	Professional		$1,116.58	$1,116.58	$1,974.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.86 / $1,321.58 / $2,554.29	Professional		$212.86	$1,321.58	$2,554.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $141.37 / $1,285.21	Professional		$102.81	$141.37	$1,285.21
United Facility/Professional Professional Modifier Low / Median / High Price $661.30 / $868.71 / $1,525.94	Professional		$661.30	$868.71	$1,525.94