Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,456.56 / $16,456.56 / $16,456.56	Facility		$16,456.56	$16,456.56	$16,456.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,608.03 / $16,456.56 / $17,220.00	Professional		$11,608.03	$16,456.56	$17,220.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,401.57 / $81,734.21 / $108,978.94	Facility		$6,401.57	$81,734.21	$108,978.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.58 / $17,019.45 / $30,635.01	Professional		$1,745.58	$17,019.45	$30,635.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $791.64 / $1,404.78 / $9,147.91	Facility		$791.64	$1,404.78	$9,147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,728.96 / $1,728.96 / $16,884.40	Professional		$1,728.96	$1,728.96	$16,884.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,275.38 / $13,275.38 / $13,275.38	Facility		$13,275.38	$13,275.38	$13,275.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.46 / $13,275.38 / $25,053.75	Professional		$1,527.46	$13,275.38	$25,053.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7,705.13 / $13,825.00 / $32,418.00	Professional		$7,705.13	$13,825.00	$32,418.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,242.68 / $1,708.69 / $15,533.60	Professional		$1,242.68	$1,708.69	$15,533.60
United Facility/Professional Professional Modifier Low / Median / High Price $4,783.92 / $6,645.96 / $11,583.30	Professional		$4,783.92	$6,645.96	$11,583.30