Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.08 / $1,077.08 / $1,077.08	Facility		$1,077.08	$1,077.08	$1,077.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.58 / $1,077.08 / $1,077.08	Professional		$897.58	$1,077.08	$1,077.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,854.61 / $5,687.48 / $10,358.78	Facility		$2,854.61	$5,687.48	$10,358.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,791.72 / $1,886.02 / $2,546.13	Professional		$1,791.72	$1,886.02	$2,546.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,196.56 / $1,225.91 / $1,232.54	Facility		$1,196.56	$1,225.91	$1,232.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,508.82 / $1,508.82 / $1,508.82	Professional		$1,508.82	$1,508.82	$1,508.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,329.56	Facility		$1,329.56	$1,329.56	$1,329.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $1,568.19 / $2,733.28	Professional		$970.58	$1,568.19	$2,733.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,077.08 / $1,362.92 / $1,362.92	Facility		$1,077.08	$1,362.92	$1,362.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,077.08 / $1,362.92 / $1,980.32	Professional		$1,077.08	$1,362.92	$1,980.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,186.30 / $1,395.65 / $1,604.99	Professional		$1,186.30	$1,395.65	$1,604.99
United Facility/Professional Professional Modifier Low / Median / High Price $700.46 / $901.64 / $1,417.35	Professional		$700.46	$901.64	$1,417.35