Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.27 / $1,088.27 / $1,088.27	Facility		$1,088.27	$1,088.27	$1,088.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.90 / $1,088.27 / $1,114.17	Professional		$906.90	$1,088.27	$1,114.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.26 / $5,746.56 / $10,466.37	Facility		$2,884.26	$5,746.56	$10,466.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,810.33 / $1,905.61 / $2,572.57	Professional		$1,810.33	$1,905.61	$2,572.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,121.91 / $1,121.91 / $1,238.65	Facility		$1,121.91	$1,121.91	$1,238.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,524.49 / $1,524.49 / $1,524.49	Professional		$1,524.49	$1,524.49	$1,524.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $1,232.72	Facility		$1,232.72	$1,232.72	$1,232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $2,209.13	Professional		$1,232.72	$1,232.72	$2,209.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,088.27 / $1,377.09 / $1,377.09	Facility		$1,088.27	$1,377.09	$1,377.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,088.27 / $1,377.09 / $2,005.16	Professional		$1,088.27	$1,377.09	$2,005.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,198.62 / $1,410.15 / $1,621.67	Professional		$1,198.62	$1,410.15	$1,621.67
United Facility/Professional Professional Modifier Low / Median / High Price $717.58 / $911.00 / $1,363.89	Professional		$717.58	$911.00	$1,363.89