Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.04 / $1,015.04 / $1,015.04	Facility		$1,015.04	$1,015.04	$1,015.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.06 / $1,015.04 / $1,015.04	Professional		$738.06	$1,015.04	$1,015.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,690.19 / $5,359.90 / $9,762.14	Facility		$2,690.19	$5,359.90	$9,762.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,688.52 / $1,777.39 / $2,399.48	Professional		$1,688.52	$1,777.39	$2,399.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $964.94 / $1,099.91 / $1,155.30	Facility		$964.94	$1,099.91	$1,155.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,421.91 / $1,421.91 / $1,421.91	Professional		$1,421.91	$1,421.91	$1,421.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Facility		$1,149.77	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $2,060.63	Professional		$1,149.77	$1,149.77	$2,060.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,015.04 / $1,284.43 / $1,284.43	Facility		$1,015.04	$1,284.43	$1,284.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $998.26 / $1,284.43 / $1,866.25	Professional		$998.26	$1,284.43	$1,866.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,078.52 / $1,315.27 / $1,512.56	Professional		$1,078.52	$1,315.27	$1,512.56
United Facility/Professional Professional Modifier Low / Median / High Price $579.89 / $822.23 / $1,234.34	Professional		$579.89	$822.23	$1,234.34