Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,273.60 / $4,273.60 / $4,273.60	Facility		$4,273.60	$4,273.60	$4,273.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,632.85 / $3,782.40 / $4,273.60	Professional		$2,632.85	$3,782.40	$4,273.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,460.47 / $18,647.00 / $24,862.65	Facility		$1,460.47	$18,647.00	$24,862.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.24 / $4,918.27 / $6,989.13	Professional		$398.24	$4,918.27	$6,989.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.49 / $428.62 / $4,326.60	Facility		$320.49	$428.62	$4,326.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $394.45 / $394.45 / $3,944.48	Professional		$394.45	$394.45	$3,944.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,626.76 / $3,626.76 / $3,626.76	Facility		$3,626.76	$3,626.76	$3,626.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.52 / $3,626.76 / $5,715.00	Professional		$387.52	$3,626.76	$5,715.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,503.06 / $3,782.40 / $7,395.90	Professional		$2,503.06	$3,782.40	$7,395.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.21 / $502.17 / $4,565.20	Professional		$365.21	$502.17	$4,565.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.94 / $2,008.42 / $3,126.64	Professional		$1,494.94	$2,008.42	$3,126.64