Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,829.04 / $13,829.04 / $13,829.04	Facility		$13,829.04	$13,829.04	$13,829.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,754.64 / $13,829.04 / $14,470.50	Professional		$9,754.64	$13,829.04	$14,470.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,379.49 / $68,684.41 / $91,579.22	Facility		$5,379.49	$68,684.41	$91,579.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.54 / $14,302.10 / $25,743.78	Professional		$1,393.54	$14,302.10	$25,743.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.24 / $1,180.49 / $15,936.63	Facility		$665.24	$1,180.49	$15,936.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,452.91 / $1,452.91 / $14,529.12	Professional		$1,452.91	$1,452.91	$14,529.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,155.72 / $11,155.72 / $11,155.72	Facility		$11,155.72	$11,155.72	$11,155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.58 / $11,155.72 / $21,056.25	Professional		$1,283.58	$11,155.72	$21,056.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6,474.84 / $11,280.70 / $27,242.10	Professional		$6,474.84	$11,280.70	$27,242.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,044.28 / $1,435.88 / $13,053.50	Professional		$1,044.28	$1,435.88	$13,053.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,020.08 / $5,584.80 / $8,056.83	Professional		$4,020.08	$5,584.80	$8,056.83