Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.63 / $1,333.63 / $1,333.63	Facility		$1,333.63	$1,333.63	$1,333.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.35 / $1,333.63 / $1,333.63	Professional		$1,111.35	$1,333.63	$1,333.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.53 / $7,042.15 / $12,826.07	Facility		$3,534.53	$7,042.15	$12,826.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,218.48 / $2,335.23 / $3,152.57	Professional		$2,218.48	$2,335.23	$3,152.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $1,399.50 / $1,517.91	Facility		$1,323.00	$1,399.50	$1,517.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,868.19 / $1,868.19 / $1,868.19	Professional		$1,868.19	$1,868.19	$1,868.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $1,271.83	Facility		$1,271.83	$1,271.83	$1,271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $2,707.13	Professional		$1,271.83	$1,271.83	$2,707.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,333.63 / $1,687.54 / $1,687.54	Facility		$1,333.63	$1,687.54	$1,687.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,321.31 / $1,687.54 / $2,452.00	Professional		$1,321.31	$1,687.54	$2,452.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,417.02 / $1,728.08 / $1,987.29	Professional		$1,417.02	$1,728.08	$1,987.29
United Facility/Professional Professional Modifier Low / Median / High Price $846.19 / $1,116.39 / $1,671.36	Professional		$846.19	$1,116.39	$1,671.36