Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.05 / $963.05 / $963.05	Facility		$963.05	$963.05	$963.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.97 / $963.05 / $963.05	Professional		$799.97	$963.05	$963.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,552.37 / $5,085.30 / $9,262.00	Facility		$2,552.37	$5,085.30	$9,262.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,602.01 / $1,686.33 / $2,276.55	Professional		$1,602.01	$1,686.33	$2,276.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,069.85 / $1,096.10 / $1,102.06	Facility		$1,069.85	$1,096.10	$1,102.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,349.06 / $1,349.06 / $1,349.06	Professional		$1,349.06	$1,349.06	$1,349.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.47 / $941.33 / $1,954.88	Professional		$852.47	$941.33	$1,954.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $963.05 / $1,218.63 / $1,218.63	Facility		$963.05	$1,218.63	$1,218.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $963.05 / $1,218.63 / $1,770.64	Professional		$963.05	$1,218.63	$1,770.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,247.88 / $1,435.06	Professional		$30.00	$1,247.88	$1,435.06
United Facility/Professional Professional Modifier Low / Median / High Price $588.46 / $791.91 / $1,191.96	Professional		$588.46	$791.91	$1,191.96