Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.77 / $1,446.77 / $1,446.77	Facility		$1,446.77	$1,446.77	$1,446.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.08 / $1,446.77 / $1,577.03	Professional		$1,287.08	$1,446.77	$1,577.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,834.38 / $7,639.57 / $13,914.17	Facility		$3,834.38	$7,639.57	$13,914.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,406.67 / $2,533.35 / $3,420.02	Professional		$2,406.67	$2,533.35	$3,420.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,590.34 / $1,646.68 / $1,716.75	Facility		$1,590.34	$1,646.68	$1,716.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,026.68 / $2,026.68 / $2,026.68	Professional		$2,026.68	$2,026.68	$2,026.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,692.71 / $3,260.07	Professional		$1,196.32	$1,692.71	$3,260.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,446.77 / $1,830.73 / $1,830.73	Facility		$1,446.77	$1,830.73	$1,830.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,446.77 / $1,830.73 / $2,849.38	Professional		$1,446.77	$1,830.73	$2,849.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,095.36	Professional		$30.00	$30.00	$1,095.36
United Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $1,203.23 / $1,540.39	Facility		$20.05	$1,203.23	$1,540.39
United Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $1,214.06 / $1,813.17	Professional		$950.60	$1,214.06	$1,813.17