Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.72 / $1,250.72 / $1,250.72	Facility		$1,250.72	$1,250.72	$1,250.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.27 / $1,250.72 / $1,250.72	Professional		$1,042.27	$1,250.72	$1,250.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,314.81 / $6,604.38 / $12,028.74	Facility		$3,314.81	$6,604.38	$12,028.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,080.57 / $2,190.07 / $2,956.59	Professional		$2,080.57	$2,190.07	$2,956.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,389.48 / $1,423.55 / $1,431.30	Facility		$1,389.48	$1,423.55	$1,431.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,752.06 / $1,752.06 / $1,752.06	Professional		$1,752.06	$1,752.06	$1,752.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $1,821.00 / $3,173.91	Professional		$892.45	$1,821.00	$3,173.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,250.72 / $1,582.65 / $1,582.65	Facility		$1,250.72	$1,582.65	$1,582.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,167.33 / $1,582.65 / $2,299.57	Professional		$1,167.33	$1,582.65	$2,299.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,377.55 / $1,620.65 / $1,863.74	Professional		$1,377.55	$1,620.65	$1,863.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,608.67 / $2,608.67	Facility		$2,217.37	$2,608.67	$2,608.67
United Facility/Professional Professional Modifier Low / Median / High Price $813.40 / $1,046.99 / $1,567.49	Professional		$813.40	$1,046.99	$1,567.49