Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.22 / $1,363.22 / $1,363.22	Facility		$1,363.22	$1,363.22	$1,363.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.46 / $1,363.22 / $1,363.22	Professional		$1,181.46	$1,363.22	$1,363.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.95 / $7,198.39 / $13,110.63	Facility		$3,612.95	$7,198.39	$13,110.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,267.69 / $2,387.05 / $3,222.52	Professional		$2,267.69	$2,387.05	$3,222.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,309.07 / $1,488.98 / $1,551.58	Facility		$1,309.07	$1,488.98	$1,551.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,909.64 / $1,909.64 / $1,909.64	Professional		$1,909.64	$1,909.64	$1,909.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,544.16	Facility		$1,544.16	$1,544.16	$1,544.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $2,767.50	Professional		$1,544.16	$1,544.16	$2,767.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,363.22 / $1,724.99 / $1,724.99	Facility		$1,363.22	$1,724.99	$1,724.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,350.63 / $1,724.99 / $2,506.40	Professional		$1,350.63	$1,724.99	$2,506.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,448.46 / $1,766.42 / $2,031.38	Professional		$1,448.46	$1,766.42	$2,031.38
United Facility/Professional Professional Modifier Low / Median / High Price $786.70 / $1,115.45 / $1,594.96	Professional		$786.70	$1,115.45	$1,594.96