Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.67 / $1,016.67 / $1,016.67	Facility		$1,016.67	$1,016.67	$1,016.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.99 / $1,016.67 / $1,016.67	Professional		$812.99	$1,016.67	$1,016.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,694.49 / $5,368.46 / $9,777.74	Facility		$2,694.49	$5,368.46	$9,777.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,691.22 / $1,780.23 / $2,403.31	Professional		$1,691.22	$1,780.23	$2,403.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,001.98 / $1,001.98 / $1,157.15	Facility		$1,001.98	$1,001.98	$1,157.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,424.18 / $1,424.18 / $1,424.18	Professional		$1,424.18	$1,424.18	$1,424.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.22 / $963.22 / $2,064.00	Professional		$963.22	$963.22	$2,064.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,016.67 / $1,286.48 / $1,286.48	Facility		$1,016.67	$1,286.48	$1,286.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $925.83 / $1,286.48 / $1,922.01	Professional		$925.83	$1,286.48	$1,922.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,119.76 / $1,317.37 / $1,514.97	Professional		$1,119.76	$1,317.37	$1,514.97
United Facility/Professional Professional Modifier Low / Median / High Price $640.87 / $851.07 / $1,251.13	Professional		$640.87	$851.07	$1,251.13