Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.22 / $1,189.22 / $1,498.41	Facility		$1,189.22	$1,189.22	$1,498.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.02 / $1,189.22 / $1,189.22	Professional		$991.02	$1,189.22	$1,189.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,151.81 / $6,279.63 / $11,437.26	Facility		$3,151.81	$6,279.63	$11,437.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,978.26 / $2,082.38 / $2,811.21	Professional		$1,978.26	$2,082.38	$2,811.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,321.10 / $1,353.55 / $1,360.87	Facility		$1,321.10	$1,353.55	$1,360.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,665.90 / $1,665.90 / $1,665.90	Professional		$1,665.90	$1,665.90	$1,665.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $1,162.68 / $2,414.25	Professional		$33.54	$1,162.68	$2,414.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,189.22 / $1,504.83 / $1,504.83	Facility		$1,189.22	$1,504.83	$1,504.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,189.22 / $1,504.83 / $2,342.14	Professional		$1,189.22	$1,504.83	$2,342.14
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 $773.58 / $995.51 / $1,490.40	Professional		$773.58	$995.51	$1,490.40