Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.82 / $1,397.82 / $1,397.82	Facility		$1,397.82	$1,397.82	$1,397.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.94 / $1,397.82 / $1,397.82	Professional		$1,153.94	$1,397.82	$1,397.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,704.66 / $7,381.10 / $13,443.42	Facility		$3,704.66	$7,381.10	$13,443.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,325.26 / $2,447.64 / $3,304.31	Professional		$2,325.26	$2,447.64	$3,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,557.45 / $1,590.97 / $1,616.80	Facility		$1,557.45	$1,590.97	$1,616.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,958.11 / $1,958.11 / $1,958.11	Professional		$1,958.11	$1,958.11	$1,958.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $1,618.14	Facility		$1,618.14	$1,618.14	$1,618.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.41 / $1,618.14 / $2,837.63	Professional		$1,248.41	$1,618.14	$2,837.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,397.82 / $1,768.78 / $1,768.78	Facility		$1,397.82	$1,768.78	$1,768.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,384.92 / $1,768.78 / $2,570.02	Professional		$1,384.92	$1,768.78	$2,570.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,485.22 / $1,811.25 / $2,082.93	Professional		$1,485.22	$1,811.25	$2,082.93
United Facility/Professional Professional Modifier Low / Median / High Price $861.55 / $1,149.42 / $1,751.83	Professional		$861.55	$1,149.42	$1,751.83