Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,500.88 / $7,500.88 / $7,500.88	Facility		$7,500.88	$7,500.88	$7,500.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,190.08 / $7,456.10 / $7,500.88	Professional		$5,190.08	$7,456.10	$7,500.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6,640.83 / $6,640.83 / $6,640.83	Professional		$6,640.83	$6,640.83	$6,640.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,070.21 / $36,758.48 / $49,011.28	Facility		$28,070.21	$36,758.48	$49,011.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.04 / $9,695.29 / $13,777.53	Professional		$785.04	$9,695.29	$13,777.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $631.77 / $684.24 / $7,548.70	Facility		$631.77	$684.24	$7,548.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $777.57 / $842.14 / $11,323.80	Professional		$777.57	$842.14	$11,323.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $6,018.00	Facility		$5,900.00	$5,900.00	$6,018.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $6,018.00 / $8,741.27	Professional		$5,900.00	$6,018.00	$8,741.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $971.96 / $7,500.88 / $9,719.60	Professional		$971.96	$7,500.88	$9,719.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $560.50 / $880.79 / $8,007.27	Professional		$560.50	$880.79	$8,007.27
United Facility/Professional Professional Modifier Low / Median / High Price $3,774.60 / $5,507.00 / $8,741.27	Professional		$3,774.60	$5,507.00	$8,741.27