Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,642.48 / $7,642.48 / $7,642.48	Facility		$7,642.48	$7,642.48	$7,642.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,323.62 / $7,642.48 / $7,647.90	Professional		$5,323.62	$7,642.48	$7,647.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,792.49 / $37,704.31 / $50,272.44	Facility		$28,792.49	$37,704.31	$50,272.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.99 / $7,851.14 / $14,132.06	Professional		$764.99	$7,851.14	$14,132.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $648.03 / $684.28 / $7,691.03	Facility		$648.03	$684.28	$7,691.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.58 / $842.19 / $11,615.16	Professional		$797.58	$842.19	$11,615.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,933.43 / $4,933.43 / $4,933.43	Facility		$4,933.43	$4,933.43	$4,933.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,933.43 / $4,933.43 / $8,742.04	Professional		$4,933.43	$4,933.43	$8,742.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,323.62 / $7,642.48 / $9,969.70	Professional		$5,323.62	$7,642.48	$9,969.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $567.39 / $891.61 / $8,105.62	Professional		$567.39	$891.61	$8,105.62
United Facility/Professional Facility Modifier Low / Median / High Price $623.65 / $5,001.30 / $7,866.95	Facility		$623.65	$5,001.30	$7,866.95
United Facility/Professional Professional Modifier Low / Median / High Price $3,871.72 / $5,188.00 / $7,918.73	Professional		$3,871.72	$5,188.00	$7,918.73