Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.94 / $1,733.94 / $1,733.94	Facility		$1,733.94	$1,733.94	$1,733.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.57 / $1,733.94 / $1,733.94	Professional		$1,310.57	$1,733.94	$1,733.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,595.47 / $9,155.95 / $16,676.02	Facility		$4,595.47	$9,155.95	$16,676.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.39 / $3,036.20 / $4,098.87	Professional		$2,884.39	$3,036.20	$4,098.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,615.22 / $1,615.22 / $1,973.53	Facility		$1,615.22	$1,615.22	$1,973.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,428.96 / $2,428.96 / $2,428.96	Professional		$2,428.96	$2,428.96	$2,428.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $1,552.76	Facility		$1,552.76	$1,552.76	$1,552.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $2,524.54 / $4,399.68	Professional		$1,133.51	$2,524.54	$4,399.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,733.94 / $2,194.09 / $2,194.09	Facility		$1,733.94	$2,194.09	$2,194.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,733.94 / $2,194.09 / $3,188.01	Professional		$1,733.94	$2,194.09	$3,188.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,842.36 / $2,246.79 / $2,583.80	Professional		$1,842.36	$2,246.79	$2,583.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.09 / $1,451.50 / $2,066.19	Professional		$1,033.09	$1,451.50	$2,066.19