Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.83 / $1,047.83 / $1,047.83	Facility		$1,047.83	$1,047.83	$1,047.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.18 / $1,047.83 / $1,047.83	Professional		$935.18	$1,047.83	$1,047.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.10 / $5,533.05 / $10,077.51	Facility		$2,777.10	$5,533.05	$10,077.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,743.07 / $1,834.81 / $2,476.98	Professional		$1,743.07	$1,834.81	$2,476.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,188.80 / $1,192.63 / $1,224.21	Facility		$1,188.80	$1,192.63	$1,224.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,467.85 / $1,467.85 / $1,467.85	Professional		$1,467.85	$1,467.85	$1,467.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $2,127.00	Professional		$1,186.93	$1,186.93	$2,127.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,047.83 / $1,325.93 / $1,325.93	Facility		$1,047.83	$1,325.93	$1,325.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,038.17 / $1,325.93 / $1,926.55	Professional		$1,038.17	$1,325.93	$1,926.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,154.09 / $1,357.76 / $1,561.42	Professional		$1,154.09	$1,357.76	$1,561.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $699.75 / $877.16 / $1,313.22	Professional		$699.75	$877.16	$1,313.22