Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,148.86 / $3,148.86 / $3,148.86	Facility		$3,148.86	$3,148.86	$3,148.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,178.36 / $3,129.41 / $3,148.86	Professional		$2,178.36	$3,129.41	$3,148.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,150.83 / $14,693.42 / $19,591.25	Facility		$1,150.83	$14,693.42	$19,591.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.81 / $3,059.60 / $5,507.28	Professional		$313.81	$3,059.60	$5,507.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.94 / $1,988.74 / $2,790.00	Facility		$242.94	$1,988.74	$2,790.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.36 / $2,447.67 / $3,263.58	Professional		$326.36	$2,447.67	$3,263.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $2,672.64	Facility		$2,672.64	$2,672.64	$2,672.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $4,729.50	Professional		$2,672.64	$2,672.64	$4,729.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,128.05 / $3,148.86 / $6,119.21	Professional		$2,128.05	$3,148.86	$6,119.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.72 / $335.11 / $3,046.49	Professional		$243.72	$335.11	$3,046.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.26 / $2,047.28 / $3,412.13	Professional		$1,584.26	$2,047.28	$3,412.13