Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,839.04 / $4,839.04 / $4,839.04	Facility		$4,839.04	$4,839.04	$4,839.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,996.68 / $4,305.00 / $4,839.04	Professional		$2,996.68	$4,305.00	$4,839.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,662.28 / $21,223.63 / $28,298.14	Facility		$1,662.28	$21,223.63	$28,298.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.27 / $5,597.88 / $7,954.88	Professional		$453.27	$5,597.88	$7,954.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.42 / $364.77 / $4,924.45	Facility		$320.42	$364.77	$4,924.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.95 / $448.95 / $4,489.52	Professional		$448.95	$448.95	$4,489.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,124.25 / $4,124.25 / $4,124.25	Facility		$4,124.25	$4,124.25	$4,124.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.07 / $4,124.25 / $6,506.25	Professional		$441.07	$4,124.25	$6,506.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,118.69 / $4,163.47 / $8,417.85	Professional		$3,118.69	$4,163.47	$8,417.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $411.89 / $1,450.19 / $5,148.70	Professional		$411.89	$1,450.19	$5,148.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,714.86 / $2,629.56 / $4,759.00	Professional		$1,714.86	$2,629.56	$4,759.00