Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.32 / $1,039.32 / $1,039.32	Facility		$1,039.32	$1,039.32	$1,039.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.89 / $1,039.32 / $1,039.32	Professional		$843.89	$1,039.32	$1,039.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.52 / $5,488.06 / $9,995.56	Facility		$2,754.52	$5,488.06	$9,995.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,728.90 / $1,819.89 / $2,456.85	Professional		$1,728.90	$1,819.89	$2,456.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.72 / $1,042.72 / $1,182.93	Facility		$1,042.72	$1,042.72	$1,182.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,455.91 / $1,455.91 / $1,455.91	Professional		$1,455.91	$1,455.91	$1,455.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,025.33	Facility		$1,025.33	$1,025.33	$1,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $2,109.75	Professional		$1,025.33	$1,025.33	$2,109.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,039.32 / $1,315.13 / $1,315.13	Facility		$1,039.32	$1,315.13	$1,315.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,029.72 / $1,315.13 / $1,910.88	Professional		$1,029.72	$1,315.13	$1,910.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,104.31 / $1,346.72 / $1,548.72	Professional		$1,104.31	$1,346.72	$1,548.72
United Facility/Professional Professional Modifier Low / Median / High Price $666.93 / $854.62 / $1,302.52	Professional		$666.93	$854.62	$1,302.52