Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.92 / $1,035.92 / $1,035.92	Facility		$1,035.92	$1,035.92	$1,035.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.58 / $1,035.92 / $1,035.92	Professional		$830.58	$1,035.92	$1,035.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,745.49 / $5,470.09 / $9,962.83	Facility		$2,745.49	$5,470.09	$9,962.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,723.23 / $1,813.93 / $2,448.81	Professional		$1,723.23	$1,813.93	$2,448.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $965.62 / $1,100.99 / $1,179.05	Facility		$965.62	$1,100.99	$1,179.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,451.14 / $1,451.14 / $1,451.14	Professional		$1,451.14	$1,451.14	$1,451.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $2,103.00	Professional		$1,232.20	$1,232.20	$2,103.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,035.92 / $1,310.81 / $1,310.81	Facility		$1,035.92	$1,310.81	$1,310.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $923.70 / $1,310.81 / $1,904.62	Professional		$923.70	$1,310.81	$1,904.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,100.69 / $1,342.31 / $1,543.65	Professional		$1,100.69	$1,342.31	$1,543.65
United Facility/Professional Professional Modifier Low / Median / High Price $617.28 / $902.93 / $1,298.25	Professional		$617.28	$902.93	$1,298.25