Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.67 / $1,275.67 / $8,461.90	Facility		$1,275.67	$1,275.67	$8,461.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.58 / $1,275.67 / $1,354.53	Professional		$1,105.58	$1,275.67	$1,354.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,380.92 / $6,736.10 / $12,268.65	Facility		$3,380.92	$6,736.10	$12,268.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,122.06 / $2,233.75 / $3,015.56	Professional		$2,122.06	$2,233.75	$3,015.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,358.62 / $1,407.93 / $1,451.94	Facility		$1,358.62	$1,407.93	$1,451.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,787.00 / $1,787.00 / $1,787.00	Professional		$1,787.00	$1,787.00	$1,787.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,306.07	Facility		$1,306.07	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,589.75	Professional		$1,306.07	$1,306.07	$2,589.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,275.67 / $1,614.22 / $8,461.90	Facility		$1,275.67	$1,614.22	$8,461.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,255.38 / $1,614.22 / $2,345.42	Professional		$1,255.38	$1,614.22	$2,345.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,355.44 / $1,652.98 / $1,900.92	Professional		$1,355.44	$1,652.98	$1,900.92
United Facility/Professional Professional Modifier Low / Median / High Price $816.48 / $1,048.98 / $1,598.74	Professional		$816.48	$1,048.98	$1,598.74