Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.42 / $891.42 / $1,123.18	Facility		$891.42	$891.42	$1,123.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.26 / $891.42 / $891.42	Professional		$669.26	$891.42	$891.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,362.54 / $4,707.08 / $8,573.14	Facility		$2,362.54	$4,707.08	$8,573.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.86 / $1,560.91 / $2,107.23	Professional		$1,482.86	$1,560.91	$2,107.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $821.16 / $1,014.59 / $1,071.93	Facility		$821.16	$1,014.59	$1,071.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,248.73 / $1,248.73 / $1,248.73	Professional		$1,248.73	$1,248.73	$1,248.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,014.49	Facility		$1,014.49	$1,014.49	$1,014.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $1,014.49 / $1,809.75	Professional		$740.58	$1,014.49	$1,809.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $891.42 / $1,127.97 / $1,127.97	Facility		$891.42	$1,127.97	$1,127.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $838.38 / $1,127.97 / $1,638.95	Professional		$838.38	$1,127.97	$1,638.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $981.80 / $1,155.07 / $1,328.33	Professional		$981.80	$1,155.07	$1,328.33
United Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $719.98 / $1,042.94	Professional		$519.15	$719.98	$1,042.94