Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,031.56 / $2,031.56 / $2,031.56	Facility		$2,031.56	$2,031.56	$2,031.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.49 / $2,031.56 / $2,196.48	Professional		$1,720.49	$2,031.56	$2,196.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,668.01 / $2,668.01 / $2,668.01	Professional		$2,668.01	$2,668.01	$2,668.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,384.26 / $10,727.51 / $19,538.33	Facility		$5,384.26	$10,727.51	$19,538.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,379.47 / $3,557.34 / $4,802.41	Professional		$3,379.47	$3,557.34	$4,802.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,203.12 / $2,280.62 / $2,312.27	Facility		$2,203.12	$2,280.62	$2,312.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,845.87 / $2,845.87 / $2,845.87	Professional		$2,845.87	$2,845.87	$2,845.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $2,117.90	Facility		$2,117.90	$2,117.90	$2,117.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $2,957.86 / $5,154.84	Professional		$1,546.07	$2,957.86	$5,154.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,031.56 / $2,570.69 / $2,570.69	Facility		$2,031.56	$2,570.69	$2,570.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,012.80 / $2,570.69 / $3,735.20	Professional		$2,012.80	$2,570.69	$3,735.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,158.59 / $2,632.43 / $3,027.29	Professional		$2,158.59	$2,632.43	$3,027.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.12 / $1,700.63 / $2,605.67	Professional		$1,409.12	$1,700.63	$2,605.67