Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,595.19 / $3,595.19 / $3,595.19	Facility		$3,595.19	$3,595.19	$3,595.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,917.43 / $3,595.19 / $3,595.19	Professional		$2,917.43	$3,595.19	$3,595.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,528.36 / $18,984.16 / $34,576.42	Facility		$9,528.36	$18,984.16	$34,576.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,980.55 / $6,295.32 / $8,498.68	Professional		$5,980.55	$6,295.32	$8,498.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,561.57 / $3,595.61 / $4,091.96	Facility		$3,561.57	$3,595.61	$4,091.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $5,036.26	Professional		$5,036.26	$5,036.26	$5,036.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $4,072.36	Facility		$4,072.36	$4,072.36	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $7,298.25	Professional		$4,072.36	$4,072.36	$7,298.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,595.19 / $4,549.27 / $4,549.27	Facility		$3,595.19	$4,549.27	$4,549.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,561.98 / $4,549.27 / $6,610.08	Professional		$3,561.98	$4,549.27	$6,610.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,959.75 / $4,658.54 / $5,357.32	Professional		$3,959.75	$4,658.54	$5,357.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,218.73 / $3,009.56 / $4,505.67	Professional		$2,218.73	$3,009.56	$4,505.67