Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.18 / $1,430.18 / $1,430.18	Facility		$1,430.18	$1,430.18	$1,430.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.52 / $1,430.18 / $1,430.18	Professional		$1,121.52	$1,430.18	$1,430.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,790.40 / $7,551.94 / $13,754.56	Facility		$3,790.40	$7,551.94	$13,754.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,379.08 / $2,504.29 / $3,380.79	Professional		$2,379.08	$2,504.29	$3,380.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,356.94 / $1,385.77 / $1,627.79	Facility		$1,356.94	$1,385.77	$1,627.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,003.43 / $2,003.43 / $2,003.43	Professional		$2,003.43	$2,003.43	$2,003.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,903.25	Professional		$1,620.00	$1,620.00	$2,903.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,430.18 / $1,809.73 / $1,809.73	Facility		$1,430.18	$1,809.73	$1,809.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,356.63 / $1,809.73 / $2,629.50	Professional		$1,356.63	$1,809.73	$2,629.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,575.19 / $1,853.17 / $2,131.14	Professional		$1,575.19	$1,853.17	$2,131.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.94 / $2,783.46 / $2,783.46	Facility		$2,365.94	$2,783.46	$2,783.46
United Facility/Professional Professional Modifier Low / Median / High Price $941.31 / $1,197.22 / $1,735.80	Professional		$941.31	$1,197.22	$1,735.80