Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,306.50 / $3,306.50 / $3,306.50	Facility		$3,306.50	$3,306.50	$3,306.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,657.82 / $3,306.50 / $3,306.50	Professional		$2,657.82	$3,306.50	$3,306.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,763.24 / $17,459.75 / $31,799.95	Facility		$8,763.24	$17,459.75	$31,799.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,500.32 / $5,789.81 / $7,816.24	Professional		$5,500.32	$5,789.81	$7,816.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,396.19 / $3,514.26 / $3,763.38	Facility		$3,396.19	$3,514.26	$3,763.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,631.85 / $4,631.85 / $4,631.85	Professional		$4,631.85	$4,631.85	$4,631.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $3,745.37	Facility		$3,745.37	$3,745.37	$3,745.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $4,814.12 / $8,390.16	Professional		$2,734.12	$4,814.12	$8,390.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,306.50 / $4,183.99 / $4,183.99	Facility		$3,306.50	$4,183.99	$4,183.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,275.97 / $4,183.99 / $6,594.87	Professional		$3,275.97	$4,183.99	$6,594.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,513.25 / $4,284.46 / $4,927.12	Professional		$3,513.25	$4,284.46	$4,927.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,167.94 / $2,767.90 / $4,125.99	Professional		$2,167.94	$2,767.90	$4,125.99