Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.54 / $1,207.54 / $1,207.54	Facility		$1,207.54	$1,207.54	$1,207.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.45 / $1,207.54 / $1,324.53	Professional		$1,032.45	$1,207.54	$1,324.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,200.37 / $6,376.37 / $11,613.46	Facility		$3,200.37	$6,376.37	$11,613.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,008.74 / $2,114.46 / $2,854.52	Professional		$2,008.74	$2,114.46	$2,854.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,328.53 / $1,374.40 / $1,453.52	Facility		$1,328.53	$1,374.40	$1,453.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,691.57 / $1,691.57 / $1,691.57	Professional		$1,691.57	$1,691.57	$1,691.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,367.82	Facility		$1,367.82	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,451.38	Professional		$1,367.82	$1,367.82	$2,451.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,207.54 / $1,528.01 / $1,528.01	Facility		$1,207.54	$1,528.01	$1,528.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,207.54 / $1,528.01 / $2,220.17	Professional		$1,207.54	$1,528.01	$2,220.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,283.05 / $1,564.70 / $1,799.40	Professional		$1,283.05	$1,564.70	$1,799.40
United Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $1,347.44 / $1,571.29	Facility		$16.84	$1,347.44	$1,571.29
United Facility/Professional Professional Modifier Low / Median / High Price $849.73 / $1,019.68 / $1,571.29	Professional		$849.73	$1,019.68	$1,571.29