Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.69 / $2,114.69 / $2,114.69	Facility		$2,114.69	$2,114.69	$2,114.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,699.84 / $2,114.69 / $2,114.69	Professional		$1,699.84	$2,114.69	$2,114.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,604.62 / $11,166.56 / $20,337.97	Facility		$5,604.62	$11,166.56	$20,337.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,517.78 / $3,702.93 / $4,998.96	Professional		$3,517.78	$3,702.93	$4,998.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,235.30 / $2,247.57 / $2,406.90	Facility		$2,235.30	$2,247.57	$2,406.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,962.34 / $2,962.34 / $2,962.34	Professional		$2,962.34	$2,962.34	$2,962.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Facility		$2,400.00	$2,400.00	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $4,293.00	Professional		$2,400.00	$2,400.00	$4,293.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,114.69 / $2,675.92 / $2,675.92	Facility		$2,114.69	$2,675.92	$2,675.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,973.72 / $2,675.92 / $3,888.07	Professional		$1,973.72	$2,675.92	$3,888.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,246.93 / $2,740.17 / $3,151.19	Professional		$2,246.93	$2,740.17	$3,151.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.51 / $1,770.23 / $2,600.71	Professional		$1,366.51	$1,770.23	$2,600.71