Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,852.00 / $2,852.00 / $2,852.00	Facility		$2,852.00	$2,852.00	$2,852.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,690.21 / $2,540.10 / $2,852.00	Professional		$1,690.21	$2,540.10	$2,852.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.55 / $11,970.46 / $15,960.58	Facility		$937.55	$11,970.46	$15,960.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.87 / $3,157.29 / $4,486.67	Professional		$242.87	$3,157.29	$4,486.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.33 / $213.36 / $2,712.70	Facility		$204.33	$213.36	$2,712.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.22 / $253.22 / $2,532.16	Professional		$253.22	$253.22	$2,532.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.31 / $2,416.31 / $2,416.31	Facility		$2,416.31	$2,416.31	$2,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $2,416.31 / $3,982.50	Professional		$257.99	$2,416.31	$3,982.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,690.21 / $2,626.83 / $4,747.80	Professional		$1,690.21	$2,626.83	$4,747.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.76 / $361.30 / $3,284.60	Professional		$262.76	$361.30	$3,284.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.84 / $1,676.70 / $2,807.60	Professional		$1,023.84	$1,676.70	$2,807.60