Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,093.52 / $5,093.52 / $5,093.52	Facility		$5,093.52	$5,093.52	$5,093.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,121.03 / $4,483.60 / $5,093.52	Professional		$3,121.03	$4,483.60	$5,093.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,731.26 / $22,104.39 / $29,472.52	Facility		$1,731.26	$22,104.39	$29,472.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.48 / $5,830.19 / $8,285.00	Professional		$448.48	$5,830.19	$8,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.03 / $379.91 / $5,128.81	Facility		$344.03	$379.91	$5,128.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.58 / $467.58 / $4,675.84	Professional		$467.58	$467.58	$4,675.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,303.28 / $4,303.28 / $4,303.28	Facility		$4,303.28	$4,303.28	$4,303.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $4,303.28 / $6,776.25	Professional		$459.38	$4,303.28	$6,776.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,121.03 / $4,423.26 / $8,767.20	Professional		$3,121.03	$4,423.26	$8,767.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $437.08 / $600.99 / $5,463.60	Professional		$437.08	$600.99	$5,463.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,793.44 / $2,704.70 / $4,070.56	Professional		$1,793.44	$2,704.70	$4,070.56