Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.04 / $1,191.04 / $1,191.04	Facility		$1,191.04	$1,191.04	$1,191.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.48 / $1,191.04 / $1,191.04	Professional		$955.48	$1,191.04	$1,191.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,156.63 / $6,289.21 / $11,454.73	Facility		$3,156.63	$6,289.21	$11,454.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,981.28 / $2,085.56 / $2,815.51	Professional		$1,981.28	$2,085.56	$2,815.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,177.58 / $1,177.58 / $1,355.61	Facility		$1,177.58	$1,177.58	$1,355.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,668.45 / $1,668.45 / $1,668.45	Professional		$1,668.45	$1,668.45	$1,668.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $1,734.10 / $3,022.03	Professional		$984.86	$1,734.10	$3,022.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,191.04 / $1,507.12 / $1,507.12	Facility		$1,191.04	$1,507.12	$1,507.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,191.04 / $1,507.12 / $2,189.83	Professional		$1,191.04	$1,507.12	$2,189.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,265.51 / $1,543.31 / $1,774.80	Professional		$1,265.51	$1,543.31	$1,774.80
United Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $979.39 / $1,393.52	Professional		$753.18	$979.39	$1,393.52