Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.39 / $1,045.39 / $1,045.39	Facility		$1,045.39	$1,045.39	$1,045.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.16 / $1,045.39 / $1,045.39	Professional		$871.16	$1,045.39	$1,045.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.52 / $1,830.52 / $1,830.52	Facility		$1,830.52	$1,830.52	$1,830.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,738.99 / $1,830.52 / $2,471.19	Professional		$1,738.99	$1,830.52	$2,471.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,161.32 / $1,189.83 / $1,196.30	Facility		$1,161.32	$1,189.83	$1,196.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,464.42 / $1,464.42 / $1,464.42	Professional		$1,464.42	$1,464.42	$1,464.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $2,122.13	Professional		$1,022.07	$1,022.07	$2,122.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,045.39 / $1,322.82 / $1,322.82	Facility		$1,045.39	$1,322.82	$1,322.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,045.39 / $1,322.82 / $2,058.87	Professional		$1,045.39	$1,322.82	$2,058.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.02 / $875.11 / $1,360.04	Professional		$680.02	$875.11	$1,360.04