Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.89 / $1,185.89 / $1,185.89	Facility		$1,185.89	$1,185.89	$1,185.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.37 / $1,185.89 / $1,185.89	Professional		$999.37	$1,185.89	$1,185.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,142.98 / $6,262.01 / $11,405.19	Facility		$3,142.98	$6,262.01	$11,405.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,972.71 / $2,076.54 / $2,803.33	Professional		$1,972.71	$2,076.54	$2,803.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,223.23 / $1,348.82 / $1,349.75	Facility		$1,223.23	$1,348.82	$1,349.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,661.23 / $1,661.23 / $1,661.23	Professional		$1,661.23	$1,661.23	$1,661.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $1,277.46	Facility		$1,277.46	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $2,407.50	Professional		$1,277.46	$1,277.46	$2,407.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,185.89 / $1,500.62 / $1,500.62	Facility		$1,185.89	$1,500.62	$1,500.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,130.26 / $1,500.62 / $2,180.36	Professional		$1,130.26	$1,500.62	$2,180.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,260.04 / $1,536.64 / $1,767.13	Professional		$1,260.04	$1,536.64	$1,767.13
United Facility/Professional Professional Modifier Low / Median / High Price $735.11 / $975.16 / $1,489.02	Professional		$735.11	$975.16	$1,489.02