Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.93 / $1,160.93 / $1,160.93	Facility		$1,160.93	$1,160.93	$1,160.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.55 / $1,160.93 / $1,160.93	Professional		$951.55	$1,160.93	$1,160.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,076.81 / $6,130.20 / $11,165.12	Facility		$3,076.81	$6,130.20	$11,165.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,931.19 / $2,032.83 / $2,744.32	Professional		$1,931.19	$2,032.83	$2,744.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,195.35 / $1,211.16 / $1,321.34	Facility		$1,195.35	$1,211.16	$1,321.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,626.26 / $1,626.26 / $1,626.26	Professional		$1,626.26	$1,626.26	$1,626.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,356.50	Professional		$1,108.41	$1,108.41	$2,356.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,160.93 / $1,469.01 / $1,469.01	Facility		$1,160.93	$1,469.01	$1,469.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,091.94 / $1,469.01 / $2,134.46	Professional		$1,091.94	$1,469.01	$2,134.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,233.51 / $1,504.29 / $1,729.93	Professional		$1,233.51	$1,504.29	$1,729.93
United Facility/Professional Professional Modifier Low / Median / High Price $682.43 / $954.62 / $1,454.93	Professional		$682.43	$954.62	$1,454.93