Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,988.24 / $6,988.24 / $6,988.24	Facility		$6,988.24	$6,988.24	$6,988.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,929.32 / $6,988.24 / $7,312.40	Professional		$4,929.32	$6,988.24	$7,312.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,718.42 / $34,708.33 / $46,277.75	Facility		$2,718.42	$34,708.33	$46,277.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.70 / $7,227.29 / $13,009.11	Professional		$1,000.70	$7,227.29	$13,009.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.17 / $596.54 / $8,053.26	Facility		$336.17	$596.54	$8,053.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $734.20 / $734.20 / $7,342.00	Professional		$734.20	$734.20	$7,342.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $3,087.00	Facility		$3,087.00	$3,087.00	$3,087.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $7,630.90	Professional		$3,087.00	$3,087.00	$7,630.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,673.80 / $5,700.55 / $13,766.25	Professional		$3,673.80	$5,700.55	$13,766.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $527.70 / $1,730.71 / $6,596.30	Professional		$527.70	$1,730.71	$6,596.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,031.47 / $2,822.24 / $4,324.20	Professional		$2,031.47	$2,822.24	$4,324.20