Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.08 / $1,848.85 / $4,522.28	Facility		$805.08	$1,848.85	$4,522.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.75 / $757.18 / $805.08	Professional		$709.75	$757.18	$805.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,133.71 / $4,251.18 / $7,742.80	Facility		$2,133.71	$4,251.18	$7,742.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.24 / $1,409.73 / $1,903.14	Professional		$1,339.24	$1,409.73	$1,903.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $916.32 / $935.79	Facility		$872.64	$916.32	$935.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.78 / $1,127.78 / $1,127.78	Professional		$1,127.78	$1,127.78	$1,127.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $840.60	Facility		$829.42	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.42 / $840.60 / $1,634.25	Professional		$829.42	$840.60	$1,634.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,018.73 / $1,802.74 / $4,522.28	Facility		$1,018.73	$1,802.74	$4,522.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $1,018.73 / $1,480.21	Professional		$755.88	$1,018.73	$1,480.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $855.42 / $1,043.20 / $1,199.68	Professional		$855.42	$1,043.20	$1,199.68
United Facility/Professional Professional Modifier Low / Median / High Price $491.62 / $662.01 / $1,008.97	Professional		$491.62	$662.01	$1,008.97