Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,174.84 / $4,174.84 / $4,174.84	Facility		$4,174.84	$4,174.84	$4,174.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,236.50 / $4,174.84 / $4,174.84	Professional		$3,236.50	$4,174.84	$4,174.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,064.63 / $22,045.00 / $40,151.19	Facility		$11,064.63	$22,045.00	$40,151.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,944.80 / $7,310.32 / $9,868.93	Professional		$6,944.80	$7,310.32	$9,868.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,972.31 / $3,999.07 / $4,751.71	Facility		$3,972.31	$3,999.07	$4,751.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,848.26 / $5,848.26 / $5,848.26	Professional		$5,848.26	$5,848.26	$5,848.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $4,728.96	Facility		$4,728.96	$4,728.96	$4,728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $8,475.00	Professional		$4,728.96	$4,728.96	$8,475.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,174.84 / $5,282.77 / $5,282.77	Facility		$4,174.84	$5,282.77	$5,282.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,174.84 / $5,282.77 / $7,675.83	Professional		$4,174.84	$5,282.77	$7,675.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,435.90 / $5,409.64 / $6,221.08	Professional		$4,435.90	$5,409.64	$6,221.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,926.06 / $8,148.31 / $8,148.31	Facility		$6,926.06	$8,148.31	$8,148.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,540.69 / $3,494.80 / $4,884.54	Professional		$2,540.69	$3,494.80	$4,884.54