Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.85 / $1,397.85 / $1,397.85	Facility		$1,397.85	$1,397.85	$1,397.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.88 / $1,397.85 / $1,397.85	Professional		$1,164.88	$1,397.85	$1,397.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,704.73 / $7,381.25 / $13,443.69	Facility		$3,704.73	$7,381.25	$13,443.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,325.31 / $2,447.69 / $3,304.38	Professional		$2,325.31	$2,447.69	$3,304.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,552.87 / $1,591.00 / $1,599.63	Facility		$1,552.87	$1,591.00	$1,599.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,958.15 / $1,958.15 / $1,958.15	Professional		$1,958.15	$1,958.15	$1,958.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.47 / $1,366.32 / $2,837.63	Professional		$1,237.47	$1,366.32	$2,837.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,397.85 / $1,768.82 / $1,768.82	Facility		$1,397.85	$1,768.82	$1,768.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,384.95 / $1,768.82 / $2,570.07	Professional		$1,384.95	$1,768.82	$2,570.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,539.59 / $1,811.29 / $2,082.98	Professional		$1,539.59	$1,811.29	$2,082.98
United Facility/Professional Professional Modifier Low / Median / High Price $909.06 / $1,170.16 / $1,839.46	Professional		$909.06	$1,170.16	$1,839.46