Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.88 / $1,012.88 / $1,012.88	Facility		$1,012.88	$1,012.88	$1,012.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $844.07 / $1,012.88 / $1,012.88	Professional		$844.07	$1,012.88	$1,012.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.44 / $5,348.44 / $9,741.27	Facility		$2,684.44	$5,348.44	$9,741.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,684.91 / $1,773.59 / $2,394.35	Professional		$1,684.91	$1,773.59	$2,394.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,059.58 / $1,062.00 / $1,152.83	Facility		$1,059.58	$1,062.00	$1,152.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,418.87 / $1,418.87 / $1,418.87	Professional		$1,418.87	$1,418.87	$1,418.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $1,018.60	Facility		$1,018.60	$1,018.60	$1,018.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $1,474.71 / $2,570.16	Professional		$743.58	$1,474.71	$2,570.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,012.88 / $1,281.70 / $1,281.70	Facility		$1,012.88	$1,281.70	$1,281.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,012.88 / $1,281.70 / $1,862.26	Professional		$1,012.88	$1,281.70	$1,862.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,076.21 / $1,312.46 / $1,509.32	Professional		$1,076.21	$1,312.46	$1,509.32
United Facility/Professional Professional Modifier Low / Median / High Price $677.71 / $847.90 / $1,269.41	Professional		$677.71	$847.90	$1,269.41