Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,993.84 / $3,993.84 / $3,993.84	Facility		$3,993.84	$3,993.84	$3,993.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,820.40 / $3,993.84 / $4,051.70	Professional		$2,820.40	$3,993.84	$4,051.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,253.84 / $19,975.20 / $26,633.58	Facility		$15,253.84	$19,975.20	$26,633.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.28 / $3,951.45 / $7,486.95	Professional		$405.28	$3,951.45	$7,486.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.32 / $343.74 / $4,019.13	Facility		$343.32	$343.74	$4,019.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.54 / $423.06 / $6,153.60	Professional		$422.54	$423.06	$6,153.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,248.38 / $3,248.38 / $3,248.38	Facility		$3,248.38	$3,248.38	$3,248.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.13 / $3,248.38 / $4,215.64	Professional		$453.13	$3,248.38	$4,215.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,157.35 / $3,993.84 / $5,281.80	Professional		$3,157.35	$3,993.84	$5,281.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $417.90 / $4,179.02	Professional		$30.00	$417.90	$4,179.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,051.19 / $2,596.26 / $4,082.06	Professional		$2,051.19	$2,596.26	$4,082.06