Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,607.45 / $3,607.45 / $3,607.45	Facility		$3,607.45	$3,607.45	$3,607.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,006.21 / $3,607.45 / $3,607.45	Professional		$3,006.21	$3,607.45	$3,607.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,560.84 / $19,048.88 / $34,694.28	Facility		$9,560.84	$19,048.88	$34,694.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,000.94 / $6,316.78 / $8,527.65	Professional		$6,000.94	$6,316.78	$8,527.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,628.36 / $3,963.62 / $4,105.91	Facility		$3,628.36	$3,963.62	$4,105.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,053.42 / $5,053.42 / $5,053.42	Professional		$5,053.42	$5,053.42	$5,053.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $4,052.23	Facility		$4,052.23	$4,052.23	$4,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $7,323.00	Professional		$4,052.23	$4,052.23	$7,323.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,607.45 / $4,564.81 / $4,564.81	Facility		$3,607.45	$4,564.81	$4,564.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,574.15 / $4,564.81 / $6,632.61	Professional		$3,574.15	$4,564.81	$6,632.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,973.25 / $4,674.42 / $5,375.58	Professional		$3,973.25	$4,674.42	$5,375.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,320.71 / $3,087.76 / $4,521.06	Professional		$2,320.71	$3,087.76	$4,521.06