Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.28 / $1,709.20 / $1,709.20	Facility		$1,538.28	$1,709.20	$1,709.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.37 / $1,538.28 / $1,709.20	Professional		$1,461.37	$1,538.28	$1,709.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,529.93 / $9,025.36 / $16,438.15	Facility		$4,529.93	$9,025.36	$16,438.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,843.25 / $2,992.89 / $4,040.40	Professional		$2,843.25	$2,992.89	$4,040.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $762.80 / $1,848.11 / $1,952.07	Facility		$762.80	$1,848.11	$1,952.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $957.72 / $2,274.59 / $2,394.31	Professional		$957.72	$2,274.59	$2,394.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $2,373.71	Facility		$2,373.71	$2,373.71	$2,373.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,999.75 / $2,373.71 / $3,469.50	Professional		$1,999.75	$2,373.71	$3,469.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,709.20 / $2,162.78 / $2,162.78	Facility		$1,709.20	$2,162.78	$2,162.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,538.28 / $2,162.78 / $3,366.23	Professional		$1,538.28	$2,162.78	$3,366.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.46 / $1,430.78 / $2,113.41	Professional		$1,110.46	$1,430.78	$2,113.41