Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.07 / $1,889.07 / $1,889.07	Facility		$1,889.07	$1,889.07	$1,889.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.07 / $1,889.07 / $1,889.07	Professional		$1,516.07	$1,889.07	$1,889.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,006.63 / $9,975.12 / $18,167.98	Facility		$5,006.63	$9,975.12	$18,167.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,142.45 / $3,307.84 / $4,465.58	Professional		$3,142.45	$3,307.84	$4,465.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,790.43 / $1,873.25 / $2,150.10	Facility		$1,790.43	$1,873.25	$2,150.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,646.27 / $2,646.27 / $2,646.27	Professional		$2,646.27	$2,646.27	$2,646.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,084.13	Facility		$2,084.13	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $3,834.75	Professional		$2,084.13	$2,084.13	$3,834.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,889.07 / $2,390.41 / $2,390.41	Facility		$1,889.07	$2,390.41	$2,390.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,684.47 / $2,390.41 / $3,473.23	Professional		$1,684.47	$2,390.41	$3,473.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,007.19 / $2,447.80 / $2,814.97	Professional		$2,007.19	$2,447.80	$2,814.97
United Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $1,815.91 / $2,070.48	Facility		$22.70	$1,815.91	$2,070.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.16 / $1,581.36 / $2,210.21	Professional		$1,145.16	$1,581.36	$2,210.21