Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,276.88 / $3,276.88 / $3,276.88	Facility		$3,276.88	$3,276.88	$3,276.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,787.50 / $2,851.05 / $3,276.88	Professional		$1,787.50	$2,851.05	$3,276.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.56 / $12,659.89 / $16,879.86	Facility		$991.56	$12,659.89	$16,879.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.86 / $2,636.16 / $4,745.09	Professional		$256.86	$2,636.16	$4,745.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.59 / $266.24 / $2,662.41	Facility		$217.59	$266.24	$2,662.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $267.80 / $2,678.00	Professional		$267.80	$267.80	$2,678.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,236.31	Facility		$2,290.69	$2,290.69	$3,236.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $2,290.69 / $3,236.31	Professional		$268.08	$2,290.69	$3,236.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,196.78 / $3,276.88 / $5,021.25	Professional		$2,196.78	$3,276.88	$5,021.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $1,204.94 / $3,925.00	Professional		$314.00	$1,204.94	$3,925.00
United Facility/Professional Facility Modifier Low / Median / High Price $213.74 / $349.92 / $2,829.98	Facility		$213.74	$349.92	$2,829.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,154.44 / $1,776.83 / $2,913.12	Professional		$1,154.44	$1,776.83	$2,913.12