Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,030.32 / $3,030.32 / $3,030.32	Facility		$3,030.32	$3,030.32	$3,030.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.87 / $2,654.03 / $3,030.32	Professional		$1,767.87	$2,654.03	$3,030.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $980.64 / $12,520.72 / $16,694.29	Facility		$980.64	$12,520.72	$16,694.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.03 / $3,302.43 / $4,692.92	Professional		$254.03	$3,302.43	$4,692.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $222.81 / $2,668.92	Facility		$215.20	$222.81	$2,668.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.86 / $264.86 / $2,648.56	Professional		$264.86	$264.86	$2,648.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $3,052.83	Facility		$2,254.90	$2,254.90	$3,052.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $2,254.90 / $3,230.73	Professional		$267.70	$2,254.90	$3,230.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,951.74 / $2,864.65 / $4,966.05	Professional		$1,951.74	$2,864.65	$4,966.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $384.51 / $3,495.60	Professional		$279.64	$384.51	$3,495.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.50 / $1,722.45 / $2,633.68	Professional		$1,071.50	$1,722.45	$2,633.68