Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,869.68 / $3,869.68 / $3,869.68	Facility		$3,869.68	$3,869.68	$3,869.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,336.35 / $3,356.40 / $3,869.68	Professional		$2,336.35	$3,356.40	$3,869.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.02 / $16,547.29 / $22,063.04	Facility		$1,296.02	$16,547.29	$22,063.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $3,445.63 / $6,202.13	Professional		$335.73	$3,445.63	$6,202.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $318.33 / $3,839.41	Facility		$284.39	$318.33	$3,839.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.03 / $350.03 / $3,500.32	Professional		$350.03	$350.03	$3,500.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $2,673.00 / $3,931.29	Professional		$343.88	$2,673.00	$3,931.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,351.66 / $3,869.68 / $6,563.10	Professional		$2,351.66	$3,869.68	$6,563.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $335.76 / $1,215.02 / $4,197.10	Professional		$335.76	$1,215.02	$4,197.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.56 / $1,872.66 / $3,023.78	Professional		$1,342.56	$1,872.66	$3,023.78