Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.85 / $1,300.85 / $1,300.85	Facility		$1,300.85	$1,300.85	$1,300.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.96 / $1,300.85 / $1,300.85	Professional		$952.96	$1,300.85	$1,300.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,447.68 / $6,869.11 / $12,510.92	Facility		$3,447.68	$6,869.11	$12,510.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,163.96 / $2,277.86 / $3,075.11	Professional		$2,163.96	$2,277.86	$3,075.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,184.43 / $1,263.21 / $1,480.61	Facility		$1,184.43	$1,263.21	$1,480.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,822.29 / $1,822.29 / $1,822.29	Professional		$1,822.29	$1,822.29	$1,822.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $2,640.75	Professional		$1,473.53	$1,473.53	$2,640.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,300.85 / $1,646.09 / $1,646.09	Facility		$1,300.85	$1,646.09	$1,646.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,300.85 / $1,646.09 / $2,562.00	Professional		$1,300.85	$1,646.09	$2,562.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $820.88	Professional		$30.00	$30.00	$820.88
United Facility/Professional Professional Modifier Low / Median / High Price $774.09 / $1,088.96 / $1,630.31	Professional		$774.09	$1,088.96	$1,630.31