Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,294.93 / $4,294.93 / $4,294.93	Facility		$4,294.93	$4,294.93	$4,294.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,261.48 / $4,294.93 / $4,294.93	Professional		$3,261.48	$4,294.93	$4,294.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,382.90 / $22,679.12 / $41,306.14	Facility		$11,382.90	$22,679.12	$41,306.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,144.57 / $7,520.60 / $10,152.81	Professional		$7,144.57	$7,520.60	$10,152.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,012.42 / $4,029.93 / $4,888.39	Facility		$4,012.42	$4,029.93	$4,888.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,016.48 / $6,016.48 / $6,016.48	Professional		$6,016.48	$6,016.48	$6,016.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $8,718.75	Professional		$4,865.01	$4,865.01	$8,718.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,294.93 / $5,434.75 / $5,434.75	Facility		$4,294.93	$5,434.75	$5,434.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,294.93 / $5,434.75 / $7,896.63	Professional		$4,294.93	$5,434.75	$7,896.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,730.45 / $5,565.24 / $6,400.02	Professional		$4,730.45	$5,565.24	$6,400.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,566.35 / $3,595.33 / $5,025.07	Professional		$2,566.35	$3,595.33	$5,025.07