Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.48 / $1,609.48 / $1,609.48	Facility		$1,609.48	$1,609.48	$1,609.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.00 / $1,609.48 / $1,609.48	Professional		$1,147.00	$1,609.48	$1,609.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.60 / $8,498.70 / $15,478.96	Facility		$4,265.60	$8,498.70	$15,478.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,677.34 / $2,818.25 / $3,804.64	Professional		$2,677.34	$2,818.25	$3,804.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,516.30 / $1,516.30 / $1,831.86	Facility		$1,516.30	$1,516.30	$1,831.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,254.60 / $2,254.60 / $2,254.60	Professional		$2,254.60	$2,254.60	$2,254.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $1,823.10	Facility		$1,823.10	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $3,267.38	Professional		$1,823.10	$1,823.10	$3,267.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,609.48 / $2,036.60 / $2,036.60	Facility		$1,609.48	$2,036.60	$2,036.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,609.48 / $2,036.60 / $2,959.16	Professional		$1,609.48	$2,036.60	$2,959.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,710.11 / $2,085.51 / $2,398.33	Professional		$1,710.11	$2,085.51	$2,398.33
United Facility/Professional Professional Modifier Low / Median / High Price $969.83 / $1,347.31 / $1,883.09	Professional		$969.83	$1,347.31	$1,883.09