Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.01 / $1,232.01 / $1,232.01	Facility		$1,232.01	$1,232.01	$1,232.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.35 / $1,232.01 / $1,232.01	Professional		$1,045.35	$1,232.01	$1,232.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,265.21 / $6,505.55 / $11,848.75	Facility		$3,265.21	$6,505.55	$11,848.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,049.44 / $2,157.30 / $2,912.36	Professional		$2,049.44	$2,157.30	$2,912.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,207.88 / $1,315.24 / $1,402.25	Facility		$1,207.88	$1,315.24	$1,402.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,725.84 / $1,725.84 / $1,725.84	Professional		$1,725.84	$1,725.84	$1,725.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,793.76 / $3,126.09	Professional		$1,018.74	$1,793.76	$3,126.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,232.01 / $1,558.96 / $1,558.96	Facility		$1,232.01	$1,558.96	$1,558.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,176.64 / $1,558.96 / $2,265.16	Professional		$1,176.64	$1,558.96	$2,265.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,309.04 / $1,596.40 / $1,835.86	Professional		$1,309.04	$1,596.40	$1,835.86
United Facility/Professional Professional Modifier Low / Median / High Price $717.50 / $995.08 / $1,441.45	Professional		$717.50	$995.08	$1,441.45