Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,007.28 / $10,007.28 / $10,007.28	Facility		$10,007.28	$10,007.28	$10,007.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,058.87 / $10,007.28 / $10,471.40	Professional		$7,058.87	$10,007.28	$10,471.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,892.80 / $49,702.77 / $66,270.33	Facility		$3,892.80	$49,702.77	$66,270.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.49 / $13,109.45 / $18,629.22	Professional		$1,061.49	$13,109.45	$18,629.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $481.39 / $854.25 / $11,532.37	Facility		$481.39	$854.25	$11,532.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,051.38 / $1,051.38 / $10,267.44	Professional		$1,051.38	$1,051.38	$10,267.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,072.81 / $8,072.81 / $8,072.81	Facility		$8,072.81	$8,072.81	$8,072.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.85 / $8,072.81 / $15,236.25	Professional		$928.85	$8,072.81	$15,236.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,685.47 / $8,046.14 / $19,713.45	Professional		$4,685.47	$8,046.14	$19,713.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $755.68 / $2,178.74 / $9,446.00	Professional		$755.68	$2,178.74	$9,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,909.12 / $4,041.40 / $5,892.53	Professional		$2,909.12	$4,041.40	$5,892.53