Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.92 / $2,191.92 / $2,191.92	Facility		$2,191.92	$2,191.92	$2,191.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,651.55 / $2,191.92 / $2,191.92	Professional		$1,651.55	$2,191.92	$2,191.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,809.28 / $11,574.33 / $21,080.66	Facility		$5,809.28	$11,574.33	$21,080.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,646.24 / $3,838.15 / $5,181.50	Professional		$3,646.24	$3,838.15	$5,181.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,151.87 / $2,151.87 / $2,494.80	Facility		$2,151.87	$2,151.87	$2,494.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,070.52 / $3,070.52 / $3,070.52	Professional		$3,070.52	$3,070.52	$3,070.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $2,482.86	Facility		$2,482.86	$2,482.86	$2,482.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $4,449.75	Professional		$2,482.86	$2,482.86	$4,449.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,191.92 / $2,773.63 / $2,773.63	Facility		$2,191.92	$2,773.63	$2,773.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,171.69 / $2,773.63 / $4,030.05	Professional		$2,171.69	$2,773.63	$4,030.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,328.98 / $2,840.23 / $3,266.26	Professional		$2,328.98	$2,840.23	$3,266.26
United Facility/Professional Facility Modifier Low / Median / High Price $27.28 / $2,182.50 / $2,488.46	Facility		$27.28	$2,182.50	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,376.34 / $1,834.88 / $2,712.66	Professional		$1,376.34	$1,834.88	$2,712.66