Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.53 / $1,369.53 / $1,369.53	Facility		$1,369.53	$1,369.53	$1,369.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.95 / $1,369.53 / $1,369.53	Professional		$933.95	$1,369.53	$1,369.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,629.69 / $7,231.74 / $13,171.38	Facility		$3,629.69	$7,231.74	$13,171.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,278.19 / $2,398.11 / $3,237.45	Professional		$2,278.19	$2,398.11	$3,237.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,238.02 / $1,238.02 / $1,558.77	Facility		$1,238.02	$1,238.02	$1,558.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,918.49 / $1,918.49 / $1,918.49	Professional		$1,918.49	$1,918.49	$1,918.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $2,780.25	Professional		$1,132.45	$1,551.30	$2,780.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,369.53 / $1,732.97 / $1,732.97	Facility		$1,369.53	$1,732.97	$1,732.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,356.88 / $1,732.97 / $2,518.01	Professional		$1,356.88	$1,732.97	$2,518.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,508.41 / $1,774.60 / $2,040.79	Professional		$1,508.41	$1,774.60	$2,040.79
United Facility/Professional Professional Modifier Low / Median / High Price $791.84 / $1,146.44 / $1,595.18	Professional		$791.84	$1,146.44	$1,595.18