Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.90 / $914.90 / $914.90	Facility		$914.90	$914.90	$914.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.81 / $914.90 / $914.90	Professional		$711.81	$914.90	$914.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.78 / $4,831.08 / $8,798.99	Facility		$2,424.78	$4,831.08	$8,798.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.93 / $1,602.03 / $2,162.73	Professional		$1,521.93	$1,602.03	$2,162.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $893.21 / $928.85 / $1,041.32	Facility		$893.21	$928.85	$1,041.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,281.61 / $1,281.61 / $1,281.61	Professional		$1,281.61	$1,281.61	$1,281.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,857.38	Professional		$1,036.33	$1,036.33	$1,857.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $914.90 / $1,157.71 / $1,157.71	Facility		$914.90	$1,157.71	$1,157.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $893.01 / $1,157.71 / $1,743.94	Professional		$893.01	$1,157.71	$1,743.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $972.11 / $1,185.50 / $1,363.32	Professional		$972.11	$1,185.50	$1,363.32
United Facility/Professional Professional Modifier Low / Median / High Price $571.29 / $765.88 / $1,087.29	Professional		$571.29	$765.88	$1,087.29