Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.54 / $1,070.54 / $1,070.54	Facility		$1,070.54	$1,070.54	$1,070.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.80 / $1,070.54 / $1,070.54	Professional		$927.80	$1,070.54	$1,070.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,837.25 / $5,652.89 / $10,295.78	Facility		$2,837.25	$5,652.89	$10,295.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,780.82 / $1,874.55 / $2,530.64	Professional		$1,780.82	$1,874.55	$2,530.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,118.28 / $1,218.46 / $1,266.75	Facility		$1,118.28	$1,218.46	$1,266.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,499.64 / $1,499.64 / $1,499.64	Professional		$1,499.64	$1,499.64	$1,499.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $2,173.13	Professional		$1,212.63	$1,212.63	$2,173.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,070.54 / $1,354.64 / $1,354.64	Facility		$1,070.54	$1,354.64	$1,354.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,070.54 / $1,354.64 / $1,968.27	Professional		$1,070.54	$1,354.64	$1,968.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,137.47 / $1,387.17 / $1,595.24	Professional		$1,137.47	$1,387.17	$1,595.24
United Facility/Professional Professional Modifier Low / Median / High Price $672.04 / $880.30 / $1,409.06	Professional		$672.04	$880.30	$1,409.06