Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.01 / $1,408.01 / $1,408.01	Facility		$1,408.01	$1,408.01	$1,408.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.40 / $1,408.01 / $1,408.01	Professional		$1,117.40	$1,408.01	$1,408.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,731.66 / $7,434.90 / $13,541.40	Facility		$3,731.66	$7,434.90	$13,541.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,342.21 / $2,465.48 / $3,328.40	Professional		$2,342.21	$2,465.48	$3,328.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.68 / $1,380.68 / $1,602.56	Facility		$1,380.68	$1,380.68	$1,602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,972.38 / $1,972.38 / $1,972.38	Professional		$1,972.38	$1,972.38	$1,972.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $2,858.25	Professional		$1,327.28	$1,327.28	$2,858.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,408.01 / $1,781.67 / $1,781.67	Facility		$1,408.01	$1,781.67	$1,781.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,344.97 / $1,781.67 / $2,588.75	Professional		$1,344.97	$1,781.67	$2,588.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,496.05 / $1,824.46 / $2,098.12	Professional		$1,496.05	$1,824.46	$2,098.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,407.34 / $2,832.16 / $2,832.16	Facility		$2,407.34	$2,832.16	$2,832.16
United Facility/Professional Professional Modifier Low / Median / High Price $829.74 / $1,148.01 / $1,680.68	Professional		$829.74	$1,148.01	$1,680.68