Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.36 / $1,104.36 / $1,104.36	Facility		$1,104.36	$1,104.36	$1,104.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.24 / $1,104.36 / $1,253.18	Professional		$944.24	$1,104.36	$1,253.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,926.93 / $5,831.57 / $10,621.20	Facility		$2,926.93	$5,831.57	$10,621.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,837.11 / $1,933.80 / $2,610.63	Professional		$1,837.11	$1,933.80	$2,610.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,256.97 / $1,256.97 / $1,256.97	Facility		$1,256.97	$1,256.97	$1,256.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,547.04 / $1,547.04 / $1,547.04	Professional		$1,547.04	$1,547.04	$1,547.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,226.77	Facility		$1,226.77	$1,226.77	$1,226.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $2,241.75	Professional		$1,226.77	$1,226.77	$2,241.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,104.36 / $1,397.45 / $1,397.45	Facility		$1,104.36	$1,397.45	$1,397.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,094.17 / $1,397.45 / $2,109.98	Professional		$1,094.17	$1,397.45	$2,109.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,173.42 / $1,431.01 / $1,645.66	Professional		$1,173.42	$1,431.01	$1,645.66
United Facility/Professional Professional Modifier Low / Median / High Price $803.96 / $964.75 / $1,486.65	Professional		$803.96	$964.75	$1,486.65