Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,854.74 / $3,854.74 / $3,854.74	Facility		$3,854.74	$3,854.74	$3,854.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,212.29 / $3,854.74 / $3,854.74	Professional		$3,212.29	$3,854.74	$3,854.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,216.26 / $20,354.73 / $37,072.66	Facility		$10,216.26	$20,354.73	$37,072.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,412.32 / $6,749.81 / $9,112.24	Professional		$6,412.32	$6,749.81	$9,112.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,047.88 / $4,047.88 / $4,387.38	Facility		$4,047.88	$4,047.88	$4,387.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,399.85 / $5,399.85 / $5,399.85	Professional		$5,399.85	$5,399.85	$5,399.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $4,366.38	Facility		$4,366.38	$4,366.38	$4,366.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $7,825.13	Professional		$4,366.38	$4,366.38	$7,825.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,854.74 / $4,877.74 / $4,877.74	Facility		$3,854.74	$4,877.74	$4,877.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,854.74 / $4,877.74 / $7,087.30	Professional		$3,854.74	$4,877.74	$7,087.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,095.78 / $4,994.85 / $5,744.08	Professional		$4,095.78	$4,994.85	$5,744.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,589.04 / $3,226.84 / $4,830.97	Professional		$2,589.04	$3,226.84	$4,830.97