Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,382.72 / $6,382.72 / $6,382.72	Facility		$6,382.72	$6,382.72	$6,382.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,295.60 / $5,765.80 / $6,382.72	Professional		$4,295.60	$5,765.80	$6,382.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,382.83 / $30,423.44 / $40,564.58	Facility		$2,382.83	$30,423.44	$40,564.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.75 / $8,024.39 / $8,552.32	Professional		$649.75	$8,024.39	$8,552.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $352.72 / $522.89 / $6,273.07	Facility		$352.72	$522.89	$6,273.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $643.55 / $643.55 / $6,435.60	Professional		$643.55	$643.55	$6,435.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,587.01 / $5,587.01 / $6,653.09	Facility		$5,587.01	$5,587.01	$6,653.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $5,587.01 / $9,435.00	Professional		$615.05	$5,587.01	$9,435.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,403.16 / $4,885.41 / $12,066.75	Professional		$2,403.16	$4,885.41	$12,066.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $516.32 / $1,596.38 / $6,454.10	Professional		$516.32	$1,596.38	$6,454.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,887.75 / $2,695.21 / $4,611.87	Professional		$1,887.75	$2,695.21	$4,611.87