Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.38 / $1,330.38 / $1,330.38	Facility		$1,330.38	$1,330.38	$1,330.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.65 / $1,330.38 / $1,330.38	Professional		$1,108.65	$1,330.38	$1,330.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.55 / $2,329.55 / $2,329.55	Facility		$2,329.55	$2,329.55	$2,329.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,213.07 / $2,329.55 / $3,144.89	Professional		$2,213.07	$2,329.55	$3,144.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.91 / $1,514.21 / $1,522.38	Facility		$1,477.91	$1,514.21	$1,522.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,863.64 / $1,863.64 / $1,863.64	Professional		$1,863.64	$1,863.64	$1,863.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,700.75	Professional		$1,800.00	$1,800.00	$2,700.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,330.38 / $1,683.44 / $1,683.44	Facility		$1,330.38	$1,683.44	$1,683.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,330.38 / $1,683.44 / $2,620.15	Professional		$1,330.38	$1,683.44	$2,620.15
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 $865.39 / $1,113.67 / $1,667.30	Professional		$865.39	$1,113.67	$1,667.30