Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,517.12 / $4,517.12 / $4,517.12	Facility		$4,517.12	$4,517.12	$4,517.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,692.69 / $4,021.05 / $4,517.12	Professional		$2,692.69	$4,021.05	$4,517.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,493.69 / $19,070.95 / $25,427.94	Facility		$1,493.69	$19,070.95	$25,427.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.94 / $5,030.10 / $7,148.03	Professional		$386.94	$5,030.10	$7,148.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $345.72 / $4,274.57	Facility		$297.00	$345.72	$4,274.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $403.42 / $403.42 / $4,034.16	Professional		$403.42	$403.42	$4,034.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $4,550.89	Facility		$2,187.00	$2,187.00	$4,550.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $2,187.00 / $4,550.89	Professional		$455.09	$2,187.00	$4,550.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,806.82 / $4,119.64 / $7,564.05	Professional		$2,806.82	$4,119.64	$7,564.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $413.37 / $1,450.19 / $5,167.20	Professional		$413.37	$1,450.19	$5,167.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.74 / $2,141.55 / $3,721.08	Professional		$1,555.74	$2,141.55	$3,721.08