Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,910.22 / $2,910.22 / $2,910.22	Facility		$2,910.22	$2,910.22	$2,910.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.31 / $2,910.22 / $2,910.22	Professional		$1,941.31	$2,910.22	$2,910.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,712.98 / $15,367.23 / $27,988.78	Facility		$7,712.98	$15,367.23	$27,988.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,841.10 / $5,095.91 / $6,879.48	Professional		$4,841.10	$5,095.91	$6,879.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,573.34 / $3,071.84 / $3,312.34	Facility		$2,573.34	$3,071.84	$3,312.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,076.73 / $4,076.73 / $4,076.73	Professional		$4,076.73	$4,076.73	$4,076.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $5,907.75	Professional		$3,001.57	$3,001.57	$5,907.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,910.22 / $3,682.54 / $3,682.54	Facility		$2,910.22	$3,682.54	$3,682.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,910.22 / $3,682.54 / $5,350.70	Professional		$2,910.22	$3,682.54	$5,350.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,205.32 / $3,770.97 / $4,336.61	Professional		$3,205.32	$3,770.97	$4,336.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,645.92 / $2,436.17 / $3,917.60	Professional		$1,645.92	$2,436.17	$3,917.60