Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,287.55 / $3,287.55 / $6,336.25	Facility		$3,287.55	$3,287.55	$6,336.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,328.38 / $3,287.55 / $3,287.55	Professional		$2,328.38	$3,287.55	$3,287.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,713.02 / $17,359.68 / $31,617.71	Facility		$8,713.02	$17,359.68	$31,617.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,468.80 / $5,756.63 / $7,771.45	Professional		$5,468.80	$5,756.63	$7,771.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,967.85 / $2,967.85 / $3,741.81	Facility		$2,967.85	$2,967.85	$3,741.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,605.30 / $4,605.30 / $4,605.30	Professional		$4,605.30	$4,605.30	$4,605.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $2,853.06	Facility		$2,853.06	$2,853.06	$2,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $6,673.50	Professional		$2,853.06	$2,853.06	$6,673.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,160.03 / $5,657.42 / $6,336.25	Facility		$4,160.03	$5,657.42	$6,336.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,257.21 / $4,160.03 / $6,044.46	Professional		$3,257.21	$4,160.03	$6,044.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,493.12 / $4,259.91 / $4,898.89	Professional		$3,493.12	$4,259.91	$4,898.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,898.24 / $2,752.04 / $4,068.56	Professional		$1,898.24	$2,752.04	$4,068.56