Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.48 / $1,141.48 / $1,141.48	Facility		$1,141.48	$1,141.48	$1,141.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.24 / $1,141.48 / $1,141.48	Professional		$951.24	$1,141.48	$1,141.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,025.28 / $6,027.52 / $10,978.10	Facility		$3,025.28	$6,027.52	$10,978.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,898.84 / $1,998.78 / $2,698.35	Professional		$1,898.84	$1,998.78	$2,698.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,196.42 / $1,196.42 / $1,299.21	Facility		$1,196.42	$1,196.42	$1,299.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,599.02 / $1,599.02 / $1,599.02	Professional		$1,599.02	$1,599.02	$1,599.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $1,408.48	Facility		$1,408.48	$1,408.48	$1,408.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $2,317.13	Professional		$1,408.48	$1,408.48	$2,317.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,141.48 / $1,444.41 / $1,444.41	Facility		$1,141.48	$1,444.41	$1,444.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,130.95 / $1,444.41 / $2,098.71	Professional		$1,130.95	$1,444.41	$2,098.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,212.86 / $1,479.10 / $1,700.96	Professional		$1,212.86	$1,479.10	$1,700.96
United Facility/Professional Professional Modifier Low / Median / High Price $765.23 / $955.55 / $1,430.57	Professional		$765.23	$955.55	$1,430.57