Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,523.52 / $12,523.52 / $12,523.52	Facility		$12,523.52	$12,523.52	$12,523.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,833.77 / $12,523.52 / $13,104.50	Professional		$8,833.77	$12,523.52	$13,104.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,871.64 / $62,200.40 / $82,933.85	Facility		$4,871.64	$62,200.40	$82,933.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.98 / $12,951.94 / $23,313.49	Professional		$1,261.98	$12,951.94	$23,313.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.44 / $1,069.05 / $6,732.86	Facility		$602.44	$1,069.05	$6,732.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,315.75 / $1,315.75 / $12,849.12	Professional		$1,315.75	$1,315.75	$12,849.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,102.62 / $10,102.62 / $10,102.62	Facility		$10,102.62	$10,102.62	$10,102.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.40 / $10,102.62 / $19,068.75	Professional		$1,162.40	$10,102.62	$19,068.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,104.58 / $8,833.77 / $24,670.35	Professional		$4,104.58	$8,833.77	$24,670.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $945.69 / $2,726.61 / $11,821.20	Professional		$945.69	$2,726.61	$11,821.20
United Facility/Professional Professional Modifier Low / Median / High Price $3,640.59 / $5,149.04 / $7,296.19	Professional		$3,640.59	$5,149.04	$7,296.19