Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,269.60 / $4,269.60 / $4,269.60	Facility		$4,269.60	$4,269.60	$4,269.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,629.06 / $3,776.90 / $4,269.60	Professional		$2,629.06	$3,776.90	$4,269.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.38 / $18,620.15 / $24,826.87	Facility		$1,458.38	$18,620.15	$24,826.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.79 / $4,911.20 / $6,979.07	Professional		$377.79	$4,911.20	$6,979.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.75 / $320.02 / $4,320.37	Facility		$285.75	$320.02	$4,320.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.88 / $393.88 / $3,938.80	Professional		$393.88	$393.88	$3,938.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,621.85 / $3,621.85 / $3,621.85	Facility		$3,621.85	$3,621.85	$3,621.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $3,621.85 / $5,707.50	Professional		$386.96	$3,621.85	$5,707.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,629.06 / $3,776.90 / $7,385.25	Professional		$2,629.06	$3,776.90	$7,385.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $501.88 / $4,562.60	Professional		$365.00	$501.88	$4,562.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.94 / $2,048.17 / $3,126.64	Professional		$1,494.94	$2,048.17	$3,126.64