Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.25 / $909.25 / $909.25	Facility		$909.25	$909.25	$909.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.01 / $909.25 / $909.25	Professional		$788.01	$909.25	$909.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,409.79 / $4,801.22 / $8,744.61	Facility		$2,409.79	$4,801.22	$8,744.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,512.52 / $1,592.13 / $2,149.38	Professional		$1,512.52	$1,592.13	$2,149.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.29 / $1,008.07 / $1,034.88	Facility		$955.29	$1,008.07	$1,034.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,273.70 / $1,273.70 / $1,273.70	Professional		$1,273.70	$1,273.70	$1,273.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $897.58	Facility		$897.58	$897.58	$897.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $1,282.51 / $1,864.21	Professional		$655.23	$1,282.51	$1,864.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $909.25 / $1,150.54 / $1,150.54	Facility		$909.25	$1,150.54	$1,150.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $909.25 / $1,150.54 / $1,671.73	Professional		$909.25	$1,150.54	$1,671.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $966.10 / $1,178.18 / $1,354.90	Professional		$966.10	$1,178.18	$1,354.90
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $561.11 / $747.67 / $1,194.38	Professional		$561.11	$747.67	$1,194.38