Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,257.36 / $13,257.36 / $13,257.36	Facility		$13,257.36	$13,257.36	$13,257.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,351.43 / $13,257.36 / $13,872.30	Professional		$9,351.43	$13,257.36	$13,872.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,157.14 / $65,845.37 / $87,793.83	Facility		$5,157.14	$65,845.37	$87,793.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,406.25 / $17,367.18 / $24,679.67	Professional		$1,406.25	$17,367.18	$24,679.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.73 / $1,131.70 / $7,199.04	Facility		$637.73	$1,131.70	$7,199.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,392.86 / $1,392.86 / $13,602.08	Professional		$1,392.86	$1,392.86	$13,602.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,694.63 / $10,694.63 / $10,694.63	Facility		$10,694.63	$10,694.63	$10,694.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.51 / $10,694.63 / $20,182.50	Professional		$1,230.51	$10,694.63	$20,182.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6,207.26 / $10,659.38 / $26,116.05	Professional		$6,207.26	$10,659.38	$26,116.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,001.11 / $1,376.52 / $12,513.90	Professional		$1,001.11	$1,376.52	$12,513.90
United Facility/Professional Professional Modifier Low / Median / High Price $3,853.92 / $5,450.72 / $9,115.60	Professional		$3,853.92	$5,450.72	$9,115.60