Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.46 / $1,470.46 / $1,470.46	Facility		$1,470.46	$1,470.46	$1,470.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.65 / $1,470.46 / $1,470.46	Professional		$1,123.65	$1,470.46	$1,470.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,897.17 / $7,764.66 / $14,142.00	Facility		$3,897.17	$7,764.66	$14,142.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,446.09 / $2,574.83 / $3,476.02	Professional		$2,446.09	$2,574.83	$3,476.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,489.48 / $1,673.64 / $1,983.27	Facility		$1,489.48	$1,673.64	$1,983.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,059.86 / $2,059.86 / $2,059.86	Professional		$2,059.86	$2,059.86	$2,059.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $1,665.63	Facility		$1,665.63	$1,665.63	$1,665.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $2,985.00	Professional		$1,665.63	$1,665.63	$2,985.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,470.46 / $1,860.68 / $1,860.68	Facility		$1,470.46	$1,860.68	$1,860.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,470.46 / $1,860.68 / $2,896.02	Professional		$1,470.46	$1,860.68	$2,896.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $908.26	Professional		$30.00	$30.00	$908.26
United Facility/Professional Professional Modifier Low / Median / High Price $951.38 / $1,230.93 / $1,810.65	Professional		$951.38	$1,230.93	$1,810.65