Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,819.57 / $2,819.57 / $2,819.57	Facility		$2,819.57	$2,819.57	$2,819.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,342.11 / $2,819.57 / $2,819.57	Professional		$2,342.11	$2,819.57	$2,819.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,472.74 / $14,888.59 / $27,117.02	Facility		$7,472.74	$14,888.59	$27,117.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,690.33 / $4,937.18 / $6,665.21	Professional		$4,690.33	$4,937.18	$6,665.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,132.24 / $3,209.17 / $3,226.57	Facility		$3,132.24	$3,209.17	$3,226.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,949.75 / $3,949.75 / $3,949.75	Professional		$3,949.75	$3,949.75	$3,949.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $4,105.18 / $7,154.53	Professional		$2,012.35	$4,105.18	$7,154.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,819.57 / $3,567.85 / $3,567.85	Facility		$2,819.57	$3,567.85	$3,567.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,766.94 / $3,567.85 / $5,184.04	Professional		$2,766.94	$3,567.85	$5,184.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,105.49 / $3,653.52 / $4,201.54	Professional		$3,105.49	$3,653.52	$4,201.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,723.29 / $2,318.52 / $3,490.64	Professional		$1,723.29	$2,318.52	$3,490.64