Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,302.80 / $4,302.80 / $4,302.80	Facility		$4,302.80	$4,302.80	$4,302.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,656.06 / $3,815.60 / $4,302.80	Professional		$2,656.06	$3,815.60	$4,302.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,473.34 / $18,811.14 / $25,081.49	Facility		$1,473.34	$18,811.14	$25,081.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.75 / $3,917.03 / $7,050.65	Professional		$401.75	$3,917.03	$7,050.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.64 / $323.31 / $4,364.68	Facility		$286.64	$323.31	$4,364.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.92 / $397.92 / $3,979.20	Professional		$397.92	$397.92	$3,979.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,657.49 / $3,657.49 / $3,657.49	Facility		$3,657.49	$3,657.49	$3,657.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $3,657.49 / $5,767.50	Professional		$390.93	$3,657.49	$5,767.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,656.06 / $3,815.60 / $7,461.00	Professional		$2,656.06	$3,815.60	$7,461.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $367.15 / $504.83 / $4,589.39	Professional		$367.15	$504.83	$4,589.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,526.24 / $2,352.42 / $3,465.84	Professional		$1,526.24	$2,352.42	$3,465.84