Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,989.82 / $1,989.82 / $1,989.82	Facility		$1,989.82	$1,989.82	$1,989.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.05 / $1,989.82 / $1,989.82	Professional		$1,536.05	$1,989.82	$1,989.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,273.64 / $10,507.13 / $19,136.95	Facility		$5,273.64	$10,507.13	$19,136.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,310.05 / $3,484.26 / $4,703.75	Professional		$3,310.05	$3,484.26	$4,703.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,893.11 / $1,893.11 / $2,264.77	Facility		$1,893.11	$1,893.11	$2,264.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,787.41 / $2,787.41 / $2,787.41	Professional		$2,787.41	$2,787.41	$2,787.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $1,819.89	Facility		$1,819.89	$1,819.89	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $4,039.50	Professional		$1,819.89	$1,819.89	$4,039.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,989.82 / $2,517.88 / $2,517.88	Facility		$1,989.82	$2,517.88	$2,517.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,971.45 / $2,517.88 / $3,658.47	Professional		$1,971.45	$2,517.88	$3,658.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,114.24 / $2,578.35 / $2,965.10	Professional		$2,114.24	$2,578.35	$2,965.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,210.83 / $1,636.22 / $2,328.08	Professional		$1,210.83	$1,636.22	$2,328.08