Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,679.35 / $3,679.35 / $5,739.79	Facility		$3,679.35	$3,679.35	$5,739.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,679.35 / $3,756.81 / $3,873.00	Professional		$3,679.35	$3,756.81	$3,873.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,179.30 / $5,827.68 / $10,235.35	Facility		$4,179.30	$5,827.68	$10,235.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,670.80 / $3,864.00 / $4,134.47	Professional		$3,670.80	$3,864.00	$4,134.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $6,777.75 / $9,465.25	Facility		$3,873.00	$6,777.75	$9,465.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,841.25 / $5,228.55	Professional		$3,873.00	$4,841.25	$5,228.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.96 / $3,873.00 / $8,714.25	Professional		$1,771.96	$3,873.00	$8,714.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,216.99 / $3,679.35 / $6,760.81	Facility		$3,216.99	$3,679.35	$6,760.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,216.99 / $3,603.02 / $4,647.60	Professional		$3,216.99	$3,603.02	$4,647.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,206.84 / $3,527.52 / $5,772.31	Professional		$3,206.84	$3,527.52	$5,772.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,099.01	Facility		$3,873.00	$3,873.00	$4,099.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,497.56 / $2,023.16 / $3,435.96	Professional		$1,497.56	$2,023.16	$3,435.96