Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,834.67 / $3,834.67 / $3,834.67	Facility		$3,834.67	$3,834.67	$3,834.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,974.48 / $3,834.67 / $3,834.67	Professional		$2,974.48	$3,834.67	$3,834.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,163.04 / $20,248.70 / $36,879.54	Facility		$10,163.04	$20,248.70	$36,879.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,378.92 / $6,714.65 / $9,064.78	Professional		$6,378.92	$6,714.65	$9,064.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,942.89 / $4,126.14 / $4,364.52	Facility		$3,942.89	$4,126.14	$4,364.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,371.72 / $5,371.72 / $5,371.72	Professional		$5,371.72	$5,371.72	$5,371.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $3,790.37	Facility		$3,790.37	$3,790.37	$3,790.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $7,784.25	Professional		$3,790.37	$3,790.37	$7,784.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,834.67 / $4,852.33 / $4,852.33	Facility		$3,834.67	$4,852.33	$4,852.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,419.34 / $4,852.33 / $7,050.38	Professional		$3,419.34	$4,852.33	$7,050.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,223.51 / $4,968.84 / $5,714.16	Professional		$4,223.51	$4,968.84	$5,714.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,521.88 / $3,210.04 / $4,805.82	Professional		$2,521.88	$3,210.04	$4,805.82