Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.23 / $1,103.23 / $1,103.23	Facility		$1,103.23	$1,103.23	$1,103.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.30 / $1,103.23 / $1,251.89	Professional		$1,011.30	$1,103.23	$1,251.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,923.90 / $5,825.54 / $10,610.22	Facility		$2,923.90	$5,825.54	$10,610.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,835.21 / $1,931.80 / $2,607.92	Professional		$1,835.21	$1,931.80	$2,607.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,255.67 / $1,255.67 / $1,363.13	Facility		$1,255.67	$1,255.67	$1,363.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,545.44 / $1,545.44 / $1,545.44	Professional		$1,545.44	$1,545.44	$1,545.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $2,239.50	Professional		$1,207.09	$1,207.09	$2,239.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,103.23 / $1,396.00 / $1,396.00	Facility		$1,103.23	$1,396.00	$1,396.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,103.23 / $1,396.00 / $2,172.78	Professional		$1,103.23	$1,396.00	$2,172.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,172.21 / $1,429.53 / $1,643.95	Professional		$1,172.21	$1,429.53	$1,643.95
United Facility/Professional Professional Modifier Low / Median / High Price $754.61 / $963.76 / $1,382.63	Professional		$754.61	$963.76	$1,382.63