Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,013.44 / $4,013.44 / $4,013.44	Facility		$4,013.44	$4,013.44	$4,013.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,423.30 / $3,481.30 / $4,013.44	Professional		$2,423.30	$3,481.30	$4,013.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,344.21 / $17,162.63 / $22,883.48	Facility		$1,344.21	$17,162.63	$22,883.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.21 / $4,526.76 / $6,432.76	Professional		$348.21	$4,526.76	$6,432.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.39 / $294.98 / $3,982.19	Facility		$278.39	$294.98	$3,982.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.05 / $363.05 / $3,630.48	Professional		$363.05	$363.05	$3,630.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,349.85	Facility		$3,349.85	$3,349.85	$3,349.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.67 / $3,349.85 / $5,261.25	Professional		$356.67	$3,349.85	$5,261.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $453.81 / $3,579.33 / $6,807.15	Professional		$453.81	$3,579.33	$6,807.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $348.23 / $478.81 / $4,352.89	Professional		$348.23	$478.81	$4,352.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,392.52 / $2,131.38 / $3,299.20	Professional		$1,392.52	$2,131.38	$3,299.20