Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,908.11 / $2,908.11 / $2,908.11	Facility		$2,908.11	$2,908.11	$2,908.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,423.42 / $2,908.11 / $2,908.11	Professional		$2,423.42	$2,908.11	$2,908.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,707.39 / $15,356.10 / $27,968.51	Facility		$7,707.39	$15,356.10	$27,968.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,837.60 / $5,092.22 / $6,874.50	Professional		$4,837.60	$5,092.22	$6,874.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,230.58 / $3,309.94 / $3,327.88	Facility		$3,230.58	$3,309.94	$3,327.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,073.78 / $4,073.78 / $4,073.78	Professional		$4,073.78	$4,073.78	$4,073.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $3,294.10	Facility		$3,294.10	$3,294.10	$3,294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $5,903.25	Professional		$3,294.10	$3,294.10	$5,903.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,908.11 / $3,679.87 / $3,679.87	Facility		$2,908.11	$3,679.87	$3,679.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,908.11 / $3,679.87 / $5,727.44	Professional		$2,908.11	$3,679.87	$5,727.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $30.00 / $30.00	Professional		$6.81	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,891.21 / $2,434.40 / $3,644.60	Professional		$1,891.21	$2,434.40	$3,644.60