Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.28 / $1,395.28 / $1,395.28	Facility		$1,395.28	$1,395.28	$1,395.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.22 / $1,395.28 / $1,402.71	Professional		$1,203.22	$1,395.28	$1,402.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,697.91 / $7,367.65 / $13,418.92	Facility		$3,697.91	$7,367.65	$13,418.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,321.02 / $2,443.17 / $3,298.29	Professional		$2,321.02	$2,443.17	$3,298.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,486.70 / $1,501.94 / $1,588.07	Facility		$1,486.70	$1,501.94	$1,588.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,954.54 / $1,954.54 / $1,954.54	Professional		$1,954.54	$1,954.54	$1,954.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,832.38	Professional		$1,499.97	$1,499.97	$2,832.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,395.28 / $1,765.56 / $1,765.56	Facility		$1,395.28	$1,765.56	$1,765.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,382.40 / $1,765.56 / $2,565.33	Professional		$1,382.40	$1,765.56	$2,565.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,482.51 / $1,807.95 / $2,079.14	Professional		$1,482.51	$1,807.95	$2,079.14
United Facility/Professional Professional Modifier Low / Median / High Price $893.45 / $1,147.33 / $1,748.65	Professional		$893.45	$1,147.33	$1,748.65