Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.09 / $1,847.09 / $4,574.22	Facility		$1,847.09	$1,847.09	$4,574.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.99 / $1,847.09 / $1,847.09	Professional		$1,430.99	$1,847.09	$1,847.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,895.34 / $9,753.42 / $17,764.18	Facility		$4,895.34	$9,753.42	$17,764.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,072.60 / $3,234.32 / $4,366.33	Professional		$3,072.60	$3,234.32	$4,366.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,791.26 / $2,102.31 / $2,145.98	Facility		$1,791.26	$2,102.31	$2,145.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,587.46 / $2,587.46 / $2,587.46	Professional		$2,587.46	$2,587.46	$2,587.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $1,721.98	Facility		$1,721.98	$1,721.98	$1,721.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $3,749.63	Professional		$1,721.98	$1,721.98	$3,749.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,337.28 / $3,646.89 / $4,574.22	Facility		$2,337.28	$3,646.89	$4,574.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,723.95 / $2,337.28 / $3,396.03	Professional		$1,723.95	$2,337.28	$3,396.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,962.58 / $2,393.40 / $2,752.41	Professional		$1,962.58	$2,393.40	$2,752.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,123.22 / $3,674.38 / $3,674.38	Facility		$3,123.22	$3,674.38	$3,674.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,546.21 / $2,314.88	Professional		$1,145.70	$1,546.21	$2,314.88