Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,187.20 / $3,187.20 / $3,187.20	Facility		$3,187.20	$3,187.20	$3,187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.69 / $2,872.50 / $3,187.20	Professional		$1,867.69	$2,872.50	$3,187.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,036.01 / $13,227.54 / $17,636.72	Facility		$1,036.01	$13,227.54	$17,636.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $2,754.36 / $4,957.85	Professional		$268.38	$2,754.36	$4,957.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.34 / $237.07 / $2,712.70	Facility		$227.34	$237.07	$2,712.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.81 / $279.81 / $2,716.64	Professional		$279.81	$279.81	$2,716.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.66 / $2,671.66 / $2,671.66	Facility		$2,671.66	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $2,671.66 / $4,515.00	Professional		$286.64	$2,671.66	$4,515.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $437.20 / $2,991.36 / $5,246.40	Professional		$437.20	$2,991.36	$5,246.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.59 / $406.43 / $3,694.90	Professional		$295.59	$406.43	$3,694.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.44 / $1,521.81 / $2,759.28	Professional		$1,134.44	$1,521.81	$2,759.28