Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.78 / $1,505.78 / $1,505.78	Facility		$1,505.78	$1,505.78	$1,505.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.01 / $1,505.78 / $1,505.78	Professional		$1,305.01	$1,505.78	$1,505.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,990.79 / $7,951.20 / $14,481.76	Facility		$3,990.79	$7,951.20	$14,481.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,504.86 / $2,636.69 / $3,559.53	Professional		$2,504.86	$2,636.69	$3,559.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,529.38 / $1,713.85 / $1,850.52	Facility		$1,529.38	$1,713.85	$1,850.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,109.35 / $2,109.35 / $2,109.35	Professional		$2,109.35	$2,109.35	$2,109.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $3,056.63	Professional		$1,549.06	$1,549.06	$3,056.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,505.78 / $1,905.40 / $1,905.40	Facility		$1,505.78	$1,905.40	$1,905.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,490.61 / $1,905.40 / $2,768.52	Professional		$1,490.61	$1,905.40	$2,768.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,599.94 / $1,951.15 / $2,243.82	Professional		$1,599.94	$1,951.15	$2,243.82
United Facility/Professional Professional Modifier Low / Median / High Price $978.19 / $1,238.20 / $1,863.51	Professional		$978.19	$1,238.20	$1,863.51