Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,371.68 / $3,371.68 / $3,371.68	Facility		$3,371.68	$3,371.68	$3,371.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.57 / $2,959.80 / $3,371.68	Professional		$1,885.57	$2,959.80	$3,371.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.76 / $13,354.61 / $17,806.15	Facility		$1,359.76	$13,354.61	$17,806.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.24 / $2,641.78 / $5,005.47	Professional		$352.24	$2,641.78	$5,005.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.53 / $264.50 / $2,644.99	Facility		$229.53	$264.50	$2,644.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.50 / $282.50 / $2,824.96	Professional		$282.50	$282.50	$2,824.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,446.40 / $2,446.40 / $3,210.83	Facility		$2,446.40	$2,446.40	$3,210.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.94 / $2,446.40 / $3,331.31	Professional		$286.94	$2,446.40	$3,331.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,184.48 / $3,371.68 / $5,296.80	Professional		$2,184.48	$3,371.68	$5,296.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.47 / $1,197.09 / $4,005.90	Professional		$320.47	$1,197.09	$4,005.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.47 / $1,555.40 / $3,198.00	Professional		$1,196.47	$1,555.40	$3,198.00