Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,136.92 / $22,136.92 / $22,136.92	Facility		$22,136.92	$22,136.92	$22,136.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19,542.98 / $22,136.92 / $23,121.75	Professional		$19,542.98	$22,136.92	$23,121.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38,762.62 / $38,762.62 / $38,762.62	Facility		$38,762.62	$38,762.62	$38,762.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36,824.50 / $38,762.62 / $52,329.55	Professional		$36,824.50	$38,762.62	$52,329.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24,588.34 / $25,094.11 / $25,195.71	Facility		$24,588.34	$25,094.11	$25,195.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31,010.10 / $31,010.10 / $31,010.10	Professional		$31,010.10	$31,010.10	$31,010.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $44,937.75 / $56,172.19	Professional		$31,019.05	$44,937.75	$56,172.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22,136.92 / $28,171.79 / $28,171.79	Facility		$22,136.92	$28,171.79	$28,171.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22,136.92 / $28,171.79 / $40,700.76	Professional		$22,136.92	$28,171.79	$40,700.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $14,905.66 / $20,365.15 / $33,941.91	Professional		$14,905.66	$20,365.15	$33,941.91