Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.58 / $1,330.58 / $1,330.58	Facility		$1,330.58	$1,330.58	$1,330.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.26 / $1,330.58 / $1,330.58	Professional		$1,105.26	$1,330.58	$1,330.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,526.46 / $7,026.08 / $12,796.80	Facility		$3,526.46	$7,026.08	$12,796.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,213.41 / $2,329.91 / $3,145.38	Professional		$2,213.41	$2,329.91	$3,145.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,478.14 / $1,514.44 / $1,522.65	Facility		$1,478.14	$1,514.44	$1,522.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,863.93 / $1,863.93 / $1,863.93	Professional		$1,863.93	$1,863.93	$1,863.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $1,300.55	Facility		$1,300.55	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $1,937.28 / $3,376.41	Professional		$949.40	$1,937.28	$3,376.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,330.58 / $1,683.70 / $1,683.70	Facility		$1,330.58	$1,683.70	$1,683.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,301.96 / $1,683.70 / $2,446.40	Professional		$1,301.96	$1,683.70	$2,446.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,413.78 / $1,724.13 / $1,982.74	Professional		$1,413.78	$1,724.13	$1,982.74
United Facility/Professional Professional Modifier Low / Median / High Price $865.31 / $1,094.14 / $1,667.56	Professional		$865.31	$1,094.14	$1,667.56