Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,632.72 / $2,632.72 / $2,632.72	Facility		$2,632.72	$2,632.72	$2,632.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.47 / $2,520.30 / $2,632.72	Professional		$1,702.47	$2,520.30	$2,632.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.40 / $12,057.82 / $16,077.09	Facility		$944.40	$12,057.82	$16,077.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.64 / $3,180.33 / $4,519.42	Professional		$244.64	$3,180.33	$4,519.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.62 / $207.24 / $2,712.70	Facility		$159.62	$207.24	$2,712.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.06 / $255.06 / $2,550.64	Professional		$255.06	$255.06	$2,550.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $2,225.09 / $3,768.75	Professional		$246.17	$2,225.09	$3,768.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,242.85 / $2,052.21 / $4,782.45	Professional		$1,242.85	$2,052.21	$4,782.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $224.28 / $722.41 / $2,803.60	Professional		$224.28	$722.41	$2,803.60
United Facility/Professional Professional Modifier Low / Median / High Price $886.78 / $1,233.91 / $1,844.27	Professional		$886.78	$1,233.91	$1,844.27