Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.02 / $2,153.02 / $2,153.02	Facility		$2,153.02	$2,153.02	$2,153.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,818.85 / $2,153.02 / $2,153.02	Professional		$1,818.85	$2,153.02	$2,153.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,706.16 / $11,368.87 / $20,706.46	Facility		$5,706.16	$11,368.87	$20,706.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,581.52 / $3,770.02 / $5,089.53	Professional		$3,581.52	$3,770.02	$5,089.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,415.67 / $2,450.51 / $2,463.77	Facility		$2,415.67	$2,450.51	$2,463.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,016.02 / $3,016.02 / $3,016.02	Professional		$3,016.02	$3,016.02	$3,016.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $2,677.88	Facility		$2,677.88	$2,677.88	$2,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,519.09 / $2,677.88 / $4,370.63	Professional		$2,519.09	$2,677.88	$4,370.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,153.02 / $2,724.39 / $2,724.39	Facility		$2,153.02	$2,724.39	$2,724.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,153.02 / $2,724.39 / $4,240.31	Professional		$2,153.02	$2,724.39	$4,240.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,408.94 / $1,802.31 / $2,698.28	Professional		$1,408.94	$1,802.31	$2,698.28