Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,158.81 / $3,158.81 / $3,158.81	Facility		$3,158.81	$3,158.81	$3,158.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,632.34 / $3,158.81 / $3,158.81	Professional		$2,632.34	$3,158.81	$3,158.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,371.82 / $16,679.89 / $30,379.56	Facility		$8,371.82	$16,679.89	$30,379.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,254.64 / $5,531.20 / $7,467.12	Professional		$5,254.64	$5,531.20	$7,467.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,296.53 / $3,313.23 / $3,595.28	Facility		$3,296.53	$3,313.23	$3,595.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,424.96 / $4,424.96 / $4,424.96	Professional		$4,424.96	$4,424.96	$4,424.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $3,578.08	Facility		$3,578.08	$3,578.08	$3,578.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $4,599.09 / $8,015.63	Professional		$2,612.00	$4,599.09	$8,015.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,158.81 / $3,997.10 / $3,997.10	Facility		$3,158.81	$3,997.10	$3,997.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,158.81 / $3,997.10 / $5,807.76	Professional		$3,158.81	$3,997.10	$5,807.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,356.33 / $4,093.09 / $4,707.05	Professional		$3,356.33	$4,093.09	$4,707.05
United Facility/Professional Professional Modifier Low / Median / High Price $2,009.18 / $2,644.27 / $3,958.79	Professional		$2,009.18	$2,644.27	$3,958.79