Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.71 / $2,113.71 / $2,113.71	Facility		$2,113.71	$2,113.71	$2,113.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,651.11 / $2,113.71 / $2,113.71	Professional		$1,651.11	$2,113.71	$2,113.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,602.01 / $11,161.37 / $20,328.53	Facility		$5,602.01	$11,161.37	$20,328.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,516.15 / $3,701.21 / $4,996.63	Professional		$3,516.15	$3,701.21	$4,996.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,098.44 / $2,405.79 / $2,555.27	Facility		$2,098.44	$2,405.79	$2,555.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,960.97 / $2,960.97 / $2,960.97	Professional		$2,960.97	$2,960.97	$2,960.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $4,290.75	Professional		$2,017.28	$2,017.28	$4,290.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,113.71 / $2,674.68 / $2,674.68	Facility		$2,113.71	$2,674.68	$2,674.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,068.02 / $2,674.68 / $3,886.27	Professional		$2,068.02	$2,674.68	$3,886.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,245.89 / $2,738.90 / $3,149.73	Professional		$2,245.89	$2,738.90	$3,149.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,261.08 / $1,738.10 / $2,554.41	Professional		$1,261.08	$1,738.10	$2,554.41