Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.01 / $1,337.01 / $1,337.01	Facility		$1,337.01	$1,337.01	$1,337.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.58 / $1,337.01 / $1,337.01	Professional		$945.58	$1,337.01	$1,337.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,543.49 / $7,060.00 / $12,858.59	Facility		$3,543.49	$7,060.00	$12,858.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,224.10 / $2,341.16 / $3,160.57	Professional		$2,224.10	$2,341.16	$3,160.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,253.43 / $1,393.05 / $1,521.75	Facility		$1,253.43	$1,393.05	$1,521.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,872.93 / $1,872.93 / $1,872.93	Professional		$1,872.93	$1,872.93	$1,872.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $1,564.30 / $3,012.82	Professional		$826.96	$1,564.30	$3,012.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,337.01 / $1,691.82 / $1,691.82	Facility		$1,337.01	$1,691.82	$1,691.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,337.01 / $1,691.82 / $2,633.20	Professional		$1,337.01	$1,691.82	$2,633.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $863.48	Professional		$30.00	$30.00	$863.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $753.71 / $1,119.22 / $1,557.30	Professional		$753.71	$1,119.22	$1,557.30