Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.99 / $1,880.99 / $1,880.99	Facility		$1,880.99	$1,880.99	$1,880.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.41 / $1,880.99 / $1,880.99	Professional		$1,519.41	$1,880.99	$1,880.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,985.21 / $9,932.45 / $18,090.25	Facility		$4,985.21	$9,932.45	$18,090.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,129.01 / $3,293.69 / $4,446.47	Professional		$3,129.01	$3,293.69	$4,446.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,865.14 / $1,877.39 / $2,140.90	Facility		$1,865.14	$1,877.39	$2,140.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,634.95 / $2,634.95 / $2,634.95	Professional		$2,634.95	$2,634.95	$2,634.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $1,743.07	Facility		$1,743.07	$1,743.07	$1,743.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $2,738.64 / $4,772.81	Professional		$1,272.44	$2,738.64	$4,772.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,880.99 / $2,380.17 / $2,380.17	Facility		$1,880.99	$2,380.17	$2,380.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,863.63 / $2,380.17 / $3,458.37	Professional		$1,863.63	$2,380.17	$3,458.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,998.61 / $2,437.33 / $2,802.92	Professional		$1,998.61	$2,437.33	$2,802.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.73 / $1,574.59 / $2,207.19	Professional		$1,159.73	$1,574.59	$2,207.19