Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.01 / $1,104.01 / $1,104.01	Facility		$1,104.01	$1,104.01	$1,104.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.52 / $1,104.01 / $1,104.01	Professional		$716.52	$1,104.01	$1,104.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.96 / $5,829.64 / $10,617.69	Facility		$2,925.96	$5,829.64	$10,617.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,836.50 / $1,933.16 / $2,609.77	Professional		$1,836.50	$1,933.16	$2,609.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $949.80 / $997.20 / $1,256.55	Facility		$949.80	$997.20	$1,256.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,546.53 / $1,546.53 / $1,546.53	Professional		$1,546.53	$1,546.53	$1,546.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $913.06	Facility		$913.06	$913.06	$913.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.06 / $913.06 / $2,241.00	Professional		$913.06	$913.06	$2,241.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,104.01 / $1,396.98 / $1,396.98	Facility		$1,104.01	$1,396.98	$1,396.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $949.58 / $1,396.98 / $2,029.81	Professional		$949.58	$1,396.98	$2,029.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,173.04 / $1,430.54 / $1,645.12	Professional		$1,173.04	$1,430.54	$1,645.12
United Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $924.17 / $1,285.91	Professional		$607.50	$924.17	$1,285.91