Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.60 / $1,470.60 / $2,703.40	Facility		$1,470.60	$1,470.60	$2,703.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.69 / $1,470.60 / $1,470.60	Professional		$1,051.69	$1,470.60	$1,470.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,897.54 / $7,765.41 / $14,143.37	Facility		$3,897.54	$7,765.41	$14,143.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,446.33 / $2,575.08 / $3,476.36	Professional		$2,446.33	$2,575.08	$3,476.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,257.76 / $1,323.21 / $1,673.80	Facility		$1,257.76	$1,323.21	$1,673.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,060.06 / $2,060.06 / $2,060.06	Professional		$2,060.06	$2,060.06	$2,060.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $2,985.38	Professional		$1,206.80	$1,206.80	$2,985.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,470.60 / $1,860.87 / $2,703.40	Facility		$1,470.60	$1,860.87	$2,703.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.05 / $1,860.87 / $2,703.83	Professional		$1,348.05	$1,860.87	$2,703.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,562.55 / $1,905.56 / $2,191.39	Professional		$1,562.55	$1,905.56	$2,191.39
United Facility/Professional Professional Modifier Low / Median / High Price $802.93 / $1,209.26 / $1,843.03	Professional		$802.93	$1,209.26	$1,843.03