Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,773.76 / $11,773.76 / $11,773.76	Facility		$11,773.76	$11,773.76	$11,773.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,123.58 / $11,773.76 / $12,319.90	Professional		$8,123.58	$11,773.76	$12,319.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,020.02 / $30,798.38 / $74,875.63	Facility		$3,020.02	$30,798.38	$74,875.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.82 / $15,423.54 / $21,917.67	Professional		$1,298.82	$15,423.54	$21,917.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,005.04 / $1,005.04 / $7,144.38	Facility		$1,005.04	$1,005.04	$7,144.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,236.98 / $1,236.98 / $1,236.98	Professional		$1,236.98	$1,236.98	$1,236.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.81 / $10,777.03 / $19,896.75	Professional		$1,092.81	$10,777.03	$19,896.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8,340.90 / $8,340.90 / $11,773.76	Facility		$8,340.90	$8,340.90	$11,773.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8,123.58 / $11,773.76 / $15,334.41	Professional		$8,123.58	$11,773.76	$15,334.41
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 $5,219.08 / $7,132.28 / $10,667.31	Professional		$5,219.08	$7,132.28	$10,667.31