Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.52 / $2,036.52 / $2,036.52	Facility		$2,036.52	$2,036.52	$2,036.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.18 / $2,024.42 / $2,036.52	Professional		$1,409.18	$2,024.42	$2,036.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.46 / $9,505.20 / $12,673.58	Facility		$744.46	$9,505.20	$12,673.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $2,507.06 / $3,562.66	Professional		$192.85	$2,507.06	$3,562.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.01 / $1,286.52 / $2,315.71	Facility		$157.01	$1,286.52	$2,315.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $1,583.41 / $2,111.21	Professional		$211.12	$1,583.41	$2,111.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $2,217.64	Facility		$2,217.64	$2,217.64	$2,217.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,074.13 / $2,217.64 / $3,059.25	Professional		$2,074.13	$2,217.64	$3,059.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,069.76 / $2,036.52 / $3,958.52	Professional		$1,069.76	$2,036.52	$3,958.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $216.68 / $1,969.87	Professional		$157.59	$216.68	$1,969.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.85 / $1,324.07 / $2,010.64	Professional		$1,024.85	$1,324.07	$2,010.64