Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.07 / $1,141.07 / $1,141.07	Facility		$1,141.07	$1,141.07	$1,141.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.30 / $1,141.07 / $1,216.01	Professional		$1,013.30	$1,141.07	$1,216.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,024.19 / $6,025.35 / $10,974.14	Facility		$3,024.19	$6,025.35	$10,974.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,898.16 / $1,998.06 / $2,697.38	Professional		$1,898.16	$1,998.06	$2,697.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.06 / $1,298.74 / $1,313.51	Facility		$1,252.06	$1,298.74	$1,313.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,598.45 / $1,598.45 / $1,598.45	Professional		$1,598.45	$1,598.45	$1,598.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,172.51	Facility		$1,172.51	$1,172.51	$1,172.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $2,316.38	Professional		$1,172.51	$1,172.51	$2,316.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,141.07 / $1,443.89 / $1,443.89	Facility		$1,141.07	$1,443.89	$1,443.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,127.00 / $1,443.89 / $2,097.96	Professional		$1,127.00	$1,443.89	$2,097.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,256.77 / $1,478.56 / $1,700.34	Professional		$1,256.77	$1,478.56	$1,700.34
United Facility/Professional Professional Modifier Low / Median / High Price $780.12 / $938.29 / $1,430.05	Professional		$780.12	$938.29	$1,430.05