Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,908.32 / $5,908.32 / $5,908.32	Facility		$5,908.32	$5,908.32	$5,908.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,175.49 / $5,908.32 / $6,006.70	Professional		$4,175.49	$5,908.32	$6,006.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,451.32 / $29,400.44 / $39,200.55	Facility		$22,451.32	$29,400.44	$39,200.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.51 / $7,754.57 / $11,019.65	Professional		$596.51	$7,754.57	$11,019.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $505.31 / $4,271.46 / $5,945.59	Facility		$505.31	$4,271.46	$5,945.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $621.91 / $621.91 / $9,110.16	Professional		$621.91	$621.91	$9,110.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $4,775.22 / $4,775.22	Facility		$4,775.22	$4,775.22	$4,775.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.53 / $4,775.22 / $6,197.47	Professional		$671.53	$4,775.22	$6,197.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,065.36 / $5,908.32 / $7,774.00	Professional		$4,065.36	$5,908.32	$7,774.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $431.83 / $678.60 / $6,169.16	Professional		$431.83	$678.60	$6,169.16
United Facility/Professional Professional Modifier Low / Median / High Price $3,036.72 / $4,067.09 / $6,401.20	Professional		$3,036.72	$4,067.09	$6,401.20