Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.33 / $1,214.33 / $1,214.33	Facility		$1,214.33	$1,214.33	$1,214.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $1,214.33 / $1,214.33	Professional		$782.00	$1,214.33	$1,214.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,218.35 / $6,412.19 / $11,678.71	Facility		$3,218.35	$6,412.19	$11,678.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.02 / $2,126.34 / $2,870.56	Professional		$2,020.02	$2,126.34	$2,870.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,036.58 / $1,036.58 / $1,382.12	Facility		$1,036.58	$1,036.58	$1,382.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,701.07 / $1,701.07 / $1,701.07	Professional		$1,701.07	$1,701.07	$1,701.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,020.64	Facility		$1,020.64	$1,020.64	$1,020.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $2,465.25	Professional		$1,020.64	$1,020.64	$2,465.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,214.33 / $1,536.58 / $1,536.58	Facility		$1,214.33	$1,536.58	$1,536.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,203.10 / $1,536.58 / $2,232.65	Professional		$1,203.10	$1,536.58	$2,232.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,290.26 / $1,573.49 / $1,809.51	Professional		$1,290.26	$1,573.49	$1,809.51
United Facility/Professional Professional Modifier Low / Median / High Price $663.01 / $1,016.53 / $1,521.86	Professional		$663.01	$1,016.53	$1,521.86