Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,679.82 / $1,679.82 / $1,679.82	Facility		$1,679.82	$1,679.82	$1,679.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,436.25 / $1,679.82 / $1,906.17	Professional		$1,436.25	$1,679.82	$1,906.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.04 / $8,870.18 / $16,155.51	Facility		$4,452.04	$8,870.18	$16,155.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,794.36 / $2,941.43 / $3,970.93	Professional		$2,794.36	$2,941.43	$3,970.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,911.93 / $1,911.93 / $1,965.24	Facility		$1,911.93	$1,911.93	$1,965.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,353.14 / $2,353.14 / $2,353.14	Professional		$2,353.14	$2,353.14	$2,353.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $1,902.78	Facility		$1,902.78	$1,902.78	$1,902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $3,409.88	Professional		$1,902.78	$1,902.78	$3,409.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,679.82 / $2,125.61 / $2,125.61	Facility		$1,679.82	$2,125.61	$2,125.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,679.82 / $2,125.61 / $3,382.64	Professional		$1,679.82	$2,125.61	$3,382.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,784.86 / $2,176.66 / $2,503.15	Professional		$1,784.86	$2,176.66	$2,503.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.88 / $1,467.45 / $2,261.29	Professional		$1,222.88	$1,467.45	$2,261.29