Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.81 / $1,369.81 / $1,369.81	Facility		$1,369.81	$1,369.81	$1,369.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.83 / $1,369.81 / $1,369.81	Professional		$1,189.83	$1,369.81	$1,369.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.43 / $7,233.22 / $13,174.07	Facility		$3,630.43	$7,233.22	$13,174.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,278.67 / $2,398.60 / $3,238.11	Professional		$2,278.67	$2,398.60	$3,238.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,497.00 / $1,559.09 / $1,695.30	Facility		$1,497.00	$1,559.09	$1,695.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,918.88 / $1,918.88 / $1,918.88	Professional		$1,918.88	$1,918.88	$1,918.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $2,780.63	Professional		$1,703.99	$1,703.99	$2,780.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,369.81 / $1,733.33 / $1,733.33	Facility		$1,369.81	$1,733.33	$1,733.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,369.81 / $1,733.33 / $2,518.53	Professional		$1,369.81	$1,733.33	$2,518.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,455.46 / $1,774.96 / $2,041.20	Professional		$1,455.46	$1,774.96	$2,041.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $889.70 / $1,136.29 / $1,738.82	Professional		$889.70	$1,136.29	$1,738.82