Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,127.35 / $4,127.35 / $4,127.35	Facility		$4,127.35	$4,127.35	$4,127.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,457.51 / $3,665.80 / $4,127.35	Professional		$2,457.51	$3,665.80	$4,127.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,363.21 / $17,405.43 / $23,207.21	Facility		$1,363.21	$17,405.43	$23,207.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.13 / $3,624.32 / $6,523.77	Professional		$353.13	$3,624.32	$6,523.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.33 / $313.05 / $3,634.87	Facility		$293.33	$313.05	$3,634.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $368.18 / $368.18 / $3,681.84	Professional		$368.18	$368.18	$3,681.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $4,219.47	Facility		$2,673.00	$2,673.00	$4,219.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $2,673.00 / $4,219.47	Professional		$421.95	$2,673.00	$4,219.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,833.26 / $3,665.80 / $6,903.45	Professional		$2,833.26	$3,665.80	$6,903.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.23 / $1,327.56 / $4,752.89	Professional		$380.23	$1,327.56	$4,752.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,486.04 / $2,192.04 / $3,422.54	Professional		$1,486.04	$2,192.04	$3,422.54